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The use of systemic anticoagulation to prevent thrombosis is a standard protocol for vascular surgeons during repair of blood vessels. However, in the setting of traumatic vascular injuries, concomitant intracranial hemorrhage, soft tissue injury, or solid organ lacerations may preclude its use for vascular repair. Conflicting data exist as to whether patients with vascular extremity trauma require anticoagulation when undergoing surgical treatment.1,2 This project was undertaken to determine whether anticoagulation during arterial repair or bypass decreased the risk for repair thrombosis or limb amputation after traumatic vascular injury of the extremities.
Humphries M, Blume MK, Rodriguez MC, DuBose JJ, Galante JM. Outcomes After Anticoagulation for Traumatic Arterial Injuries of the Extremity. JAMA Surg. 2016;151(10):986-987. doi:10.1001/jamasurg.2016.1686