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Posterior Tibial Artery Bypass for Iliofemoral Artery Injury Associated With Massive Blood Loss and Shock

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ClinicalTrials.gov Identifier: NCT00900848
Recruitment Status : Completed
First Posted : May 13, 2009
Last Update Posted : May 13, 2009
Sponsor:
Information provided by:
The Second Hospital of Qinhuangdao

Brief Summary:

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 or disease
Iliofemoral Artery Injury Shock

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.


Study Type : Observational
Actual Enrollment : 8 participants
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
Study Start Date : January 2009
Actual Primary Completion Date : January 2009
Actual Study Completion Date : January 2009

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Bleeding Shock
U.S. FDA Resources

Group/Cohort
8
8 patients




Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years to 60 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
8 patients
Criteria

Inclusion Criteria:

  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.

Exclusion Criteria:

  1. bleeding can be easily control through an open wound;
  2. mild shock without life threatening conditions;
  3. good blood supply to the ipsilateral lower extremity;
  4. low-risk emergency artery reconstruction.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT00900848


Sponsors and Collaborators
The Second Hospital of Qinhuangdao
Investigators
Study Chair: Xu Zhang, MD The Second Hospital of Qinhuangdao

Responsible Party: Microsurgery, the Second hospital of Qinhuangdao
ClinicalTrials.gov Identifier: NCT00900848     History of Changes
Other Study ID Numbers: SHQ-0905-A
First Posted: May 13, 2009    Key Record Dates
Last Update Posted: May 13, 2009
Last Verified: May 2009

Keywords provided by The Second Hospital of Qinhuangdao:
Posterior tibial artery bypass
Iliofemoral artery injury
Shock
Reconstruction

Additional relevant MeSH terms:
Wounds and Injuries
Shock
Pathologic Processes