Posterior Tibial Artery Bypass for Iliofemoral Artery Injury Associated With Massive Blood Loss and Shock
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Purpose
Traumatic disruption of iliofemoral arterial segment is often associated with multiple injuries, massive hemorrhage, state of shock, and loss of blood supply to the ipsilateral lower extremity, as well as with high mortality.
The investigators describe a bypass technique. It can provide adequate blood supply to the lower extremity of the injury side. Due to a minimum amount of additional blood loss, it is a low risk procedure for salvage of the extremity and even patient's life.
| Condition |
|---|
|
Iliofemoral Artery Injury Shock |
| Study Type: | Observational |
| Study Design: | Observational Model: Cohort Time Perspective: Retrospective |
| Official Title: | Traumatic Disruption of Iliofemoral Arterial Segment is Often Associated With Multiple Injuries, Massive Hemorrhage, State of Shock, and Loss of Blood Supply to the Ipsilateral Lower Extremity, as Well as With High Mortality |
| Enrollment: | 8 |
| Study Start Date: | January 2009 |
| Study Completion Date: | January 2009 |
| Primary Completion Date: | January 2009 (Final data collection date for primary outcome measure) |
| Groups/Cohorts |
|---|
|
8
8 patients
|
Detailed Description:
Patients were selected on the basis of the following: (1) closed injuries to the lower abdomen and/or pelvis; (2) serious hemorrhagic shock; (3) loss of blood supply to the ipsilateral lower extremity; (4) high-risk emergency artery reconstruction.
The instruments used to measure sensibility of the foot were the Semmes-Weinstein (SW) monofilament test 24 and the static two-point discrimination (2PD) test 25. The weight-bearing area of the first metatarsal head and the dorsum of the first metatarsal head were assessed. Active range of motion (ROM) of the hip, knee, and ankle joints was measured with a goniometer. The muscle strength was test using Medical Research Council (MRC) Scale. The cold intolerance of the leg was measured using the self-administered Cold Intolerance Severity Score (CISS) questionnaire 26. The maximum score is 100 and is grouped into 4 ranges (0-25, 26-50, 51-75, and 76-100) corresponding to mild, moderate, severe, and extreme severity, respectively.
Eligibility| Ages Eligible for Study: | 20 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
| Sampling Method: | Non-Probability Sample |
8 patients
Inclusion Criteria:
- closed injuries to the lower abdomen and/or pelvis;
- serious hemorrhagic shock;
- loss of blood supply to the ipsilateral lower extremity;
- high-risk emergency artery reconstruction.
Exclusion Criteria:
- bleeding can be easily control through an open wound;
- mild shock without life threatening conditions;
- good blood supply to the ipsilateral lower extremity;
- low-risk emergency artery reconstruction.
Contacts and Locations More Information
No publications provided
| Responsible Party: | Microsurgery, the Second hospital of Qinhuangdao |
| ClinicalTrials.gov Identifier: | NCT00900848 History of Changes |
| Other Study ID Numbers: | SHQ-0905-A |
| Study First Received: | May 9, 2009 |
| Last Updated: | May 11, 2009 |
| Health Authority: | China: Ethics Committee |
Keywords provided by The Second Hospital of Qinhuangdao:
|
Posterior tibial artery bypass Iliofemoral artery injury Shock Reconstruction |
Additional relevant MeSH terms:
|
Shock Pathologic Processes |
ClinicalTrials.gov processed this record on May 21, 2013