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Related Concept Videos

Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

568
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
568
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

605
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
605
Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

544
 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
544
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

512
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
512
Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

535
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
535
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests01:27

Atherosclerosis II: Clinical Manifestations and Diagnostic Tests

715
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
715

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Related Experiment Video

Updated: Mar 18, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Peripheral Arterial Injuries: an Indian Experience.

Sunil S Joshi1

  • 1St John's Medical College Hospital, Bangalore, 560034 Karnataka India.

The Indian Journal of Surgery
|July 1, 2016
PubMed
Summary

Timely specialist care for arterial injuries in India significantly improves limb salvage rates. Awareness and training are crucial for better outcomes in managing these challenging vascular conditions.

Area of Science:

  • Vascular Surgery
  • Trauma Management
  • Public Health in Developing Countries

Background:

  • Arterial injuries pose significant surgical challenges, with delayed treatment leading to limb loss or mortality.
  • These injuries receive less attention in developing nations like India compared to developed countries.
  • A localized perspective on arterial injuries is crucial for effective management strategies in India.

Purpose of the Study:

  • To analyze the epidemiology, clinical presentation, and treatment outcomes of arterial injuries in an Indian setting.
  • To identify factors associated with adverse outcomes in patients with arterial injuries.
  • To discuss critical management issues pertinent to arterial injuries in India.

Main Methods:

  • Retrospective analysis of 61 patients with arterial injuries who underwent surgical repair between July 2010 and February 2014.
Keywords:
Developing countryIndiaTraumaVascular injuries

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  • Inclusion criteria focused on patients with feasible revascularization; primary amputations for nonviable limbs were excluded.
  • Data collected included patient demographics, injury mechanisms, injury location, associated injuries, surgical procedures, and outcomes.

    • Main Results:

    • The majority of patients (90.1%) were male, with a mean age of 5-70 years and a mean presentation time of 21 hours.
    • Road traffic accidents (62.7%) were the leading cause, predominantly blunt trauma (93.8%) to lower limbs (60.6%), especially the popliteal segment (36%).
    • Interposition grafting was the most common procedure (49.1%), achieving a limb salvage rate of 90.1% (55 out of 61 patients).

    Conclusions:

    • Prompt access to specialist care is vital for achieving high limb salvage rates and good functional outcomes in arterial injury management.
    • Creating widespread awareness and enhancing the training of healthcare personnel are critical steps for improving the management of arterial injuries in India.
    • Addressing the specific epidemiological and logistical challenges of arterial injuries in India is essential for reducing morbidity and mortality.