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Bilateral popliteal artery injury: Lessons learned
Tashinga Musonza1, Ahmed Khouqueer2, Ramyar Gilani2
1Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX, United States of America.
Trauma Case Reports
|August 8, 2019
Summary
Bilateral popliteal artery trauma is a severe injury with high limb loss rates. A systematic approach, including surgical shunts and grafts, can improve limb salvage outcomes in these rare cases.
Area of Science:
- Vascular Surgery
- Trauma Management
Background:
- Popliteal artery trauma is a leading cause of limb loss in peripheral vascular injuries.
- Bilateral popliteal artery trauma is rare, with poorly defined management strategies.
Observation:
- This case report addresses the challenges of managing bilateral popliteal artery trauma.
- The study highlights the potential for limb salvage despite the severity of the injury.
Findings:
- A systematic approach is crucial for limb salvage in bilateral popliteal artery trauma.
- Surgical shunts, dual surgical teams, and arterial grafts are recommended interventions.
- Tourniquets and resuscitative endovascular balloon occlusion of the aorta (REBOA) can manage severe hemorrhage.
Implications:
- Limb salvage is achievable with a deliberate management strategy for bilateral popliteal artery trauma.
- Further research and larger studies are needed to establish definitive management guidelines.
- This case underscores the importance of considering advanced techniques in managing complex vascular injuries.
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