de Launay David, Shiga Sarah, Laschuk Matthew, Brandys Timothy, Roberts Derek J
Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, Ottawa, Canada.
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Ottawa, Ottawa, ON, Canada.
J Vasc Surg Cases Innov Tech. 2022 Aug 23;8(4):598-601. doi: 10.1016/j.jvscit.2022.08.006. eCollection 2022 Dec.
Although temporary intravascular shunting has been reported to assist with hand revascularization and replantation after traumatic amputation, most reports have described using ipsilateral upper limb inflow. We present a case of a traumatic hand amputation in a patient who had presented with 4 to 5 hours of warm ischemic time. Because the replantation team believed that extra-anatomic revascularization would be necessary, we performed a novel type of temporary intravascular shunting by connecting two arterial sheaths placed in the ulnar and superficial femoral arteries. This permitted the hand to be successfully replanted away from the inflow source and resulted in a good long-term functional outcome.
尽管已有报道称临时血管内分流术有助于创伤性截肢后手的血管再通和再植，但大多数报道描述的是使用同侧上肢供血。我们报告了一例创伤性手截肢患者，其出现了4至5小时的热缺血时间。由于再植团队认为需要进行解剖外血管再通，我们通过连接置于尺动脉和股浅动脉的两个动脉鞘进行了一种新型的临时血管内分流术。这使得手能够在远离供血源的情况下成功再植，并获得了良好的长期功能结果。
