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November 1978

Improved Treatment of Popliteal Arterial InjuriesUsing Anticoagulation and Extra-anatomic Reconstruction

Author Affiliations

From the Department of Surgery, Vascular Surgery Service, University of Kentucky Medical Center, Lexington.

Arch Surg. 1978;113(11):1317-1321. doi:10.1001/archsurg.1978.01370230107013

• Management of popliteal arterial injuries remains a challenging problem. Early recognition and treatment, arteriography, fasciotomy, and repair of concomitant popliteal venous injuries are modalities that have contributed to improved results. Systemic heparin sodium anticoagulation and selected extra-anatomic vein graft bypass of the popliteal area are two additional measures that have contributed to a 91%-success rate in treatment of popliteal arterial injuries during the last five years. Five of five penetrating injuries and five of six blunt injuries were treated successfully in this time period. A limb salvage rate of only 46% was attained in the previous five-year period. There were no operative deaths. No complications attributable to systemic anticoagulation or extra-anatomic bypass graft occurred. These adjuncts are recommended to all who manage vascular injuries.

(Arch Surg 113:1317-1321, 1978)