Historically, imaging in vascular trauma has been performed to confirm the diagnosis and plan intervention and, in majority of cases, has included arterial or computed tomography (CT) angiography. In the operating room, angiography is generally performed for control occasionally to treat the injury, and to confirm success of the intervention. These techniques do not offer a method of following the patient and are limited in many settings. Intra-operative and bedside duplex ultrasound offers a means in some settings of real-time assessment and for following the outcomes of interventions. We present 2 cases that illustrate a possible for role for duplex ultrasound in the setting of trauma.
FelicianoDVMooreEEWestMAet al. Western trauma association critical decisions in trauma: evaluation and management of peripheral vascular injury, part II. J Trauma Acute Care Surg. 2013;75:391-397.
FelicianoDV.For the patient—evolution in the management of vascular trauma. J Trauma Acute Care Surg. 2017;83:1205-1212.
4.
CottonBAGunterOLIsbellJet al. Damage control hematology: the impact of a trauma exsanguination protocol on survival and blood product utilization. J Trauma. 2008;64:1177-1183.
5.
SubramanianAVercruysseGDenteCWyrzykowskiAKingEFelicianoDV.A decade’s experience with temporary intravascular shunts at a civilian level 1 trauma center. J Trauma. 2008;65:316-324.
6.
MakinsGH.Gunshot Injuries to the Blood Vessels. Bristol, England: John Wright; 1919.
7.
InabaKAksoyHSeamonMJet al. Multicenter evaluation of temporary intravascular shunt use in vascular trauma. Trauma Acute Care Surg. 2016;80:359-364.
8.
KiznerLFlottmannCHorstkotteDGummertJ.Bilateral antegrade perfusion of the superficial femoral artery to prevent limb ischaemia during combined use of Impella CP left ventricular assist device and extracorporeal life support. Interact Cardiovasc Thorac Surg. 2016;23:335-337.
