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Preclinical Model of Hind Limb Ischemia in Diabetic Rabbits
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Practical application of bedside diagnostics in determining limb viability
Anahita Dua1, Sapan S Desai2, Sheila Coogan2
1Department of Surgery, Medical College of Wisconsin, Milwaukee, WI, USA Center for Translational Injury Research (CeTIR), Department of Surgery, University of Houston-Texas, Houston, TX, USA Andua@mcw.edu.
Vascular
|June 19, 2014
Summary
Vascular lab studies can help determine limb salvage in injured patients. Normal results in these studies indicated no need for further intervention, successfully preventing amputations.
Area of Science:
- Trauma surgery
- Vascular surgery
- Diagnostic imaging
Background:
- Assessing limb salvage in trauma patients with concerning clinical examinations is crucial.
- Vascular laboratory studies play a role in guiding management decisions.
Purpose of the Study:
- To evaluate the utility of vascular lab studies in predicting limb salvage outcomes.
- To determine if normal vascular lab results can obviate further interventions in injured patients.
Main Methods:
- Retrospective review of trauma registry data from a level I center (2009-2013).
- Inclusion of patients over 16 with lower limb arterial injury and concerning clinical exams.
- Analysis of demographics, injury details, procedures, vascular lab results, and limb outcomes.
Main Results:
- 11 trauma patients met inclusion criteria over a five-year period.
- All 11 patients had normal vascular lab studies.
- No patients with normal vascular lab studies required further imaging, intervention, or amputation.
Conclusions:
- Normal vascular lab studies in injured patients with concerning clinical exams suggest successful limb salvage.
- Vascular lab studies can guide decisions regarding intervention and bypass sufficiency.
- These studies may help avoid unnecessary procedures in select trauma patients.
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