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Two Cases of Traumatic Popliteal Artery Injury
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- Hayashi Nagi
- Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University
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- Furukawa Kojiro
- Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University
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- Morokuma Hiroyuki
- Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University
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- Itoh Manabu
- Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University
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- Kamohara Keiji
- Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University
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- Morita Shigeki
- Department of Thoracic and Cardiovascular Surgery, Faculty of Medicine, Saga University
Bibliographic Information
- Other Title
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- 外傷性膝窩動脈損傷の治療経験
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Description
Although traumatic popliteal artery injury is rare, without quick, correct treatment, it carries a high risk of amputation. We report two cases of popliteal artery trauma in which amputation was avoided by surgical treatment. Case 1 was a 55-year-old man who fell into a ditch. The left leg had a 12-cm popliteal fossa laceration, a pulseless dorsal artery, and paleness and coldness distally. Computed tomography showed popliteal artery obstruction. Case 2 was a 53-year-old man injured in a traffic accident. The right lower leg was swollen and pale, with a pulseless dorsal artery. Computed tomography showed popliteal artery obstruction plus tibial and fibular fractures. In both, we performed revascularization from a posterior approach after harvesting the greater saphenous vein with patients in the supine position; subsequently, blood flow was improved. The operative view showed that the popliteal artery was completely severed in Case 1 and dissected in Case 2. The time until reperfusion was 7 and 10 hours, respectively. After the greater saphenous vein was harvested via the supine position, repair of traumatic popliteal artery injury via the posterior approach was effective.
Journal
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- Japanese Journal of Vascular Surgery
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Japanese Journal of Vascular Surgery 24 (6), 867-870, 2015
JAPANESE SOCIETY FOR VASCULAR SURGERY
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Keywords
Details 詳細情報について
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- CRID
- 1390282679392551168
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- NII Article ID
- 130005104309
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- ISSN
- 1881767X
- 09186778
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed