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Upper Extremity Arterial Combat Injury Management

Department of Surgery, Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC, Division of Vascular Surgery, Uniformed University of the Health Sciences, Bethesda, Maryland

Charles J. Fox, MD

Department of Surgery, Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC, Division of Vascular Surgery, Uniformed University of the Health Sciences, Bethesda, Maryland

Eric Adams, MD

Department of Surgery, Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC, Division of Vascular Surgery, Uniformed University of the Health Sciences, Bethesda, Maryland

Rob D. Rice

Department of Surgery, Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC

Reagan Quan, MD

Department of Surgery, Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC, Division of Vascular Surgery, Uniformed University of the Health Sciences, Bethesda, Maryland

Mitchell W. Cox, MD

Department of Surgery, Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC, Division of Vascular Surgery, Uniformed University of the Health Sciences, Bethesda, Maryland

David L. Gillespie, MD

Department of Surgery, Vascular Surgery Service, Walter Reed Army Medical Center, Washington, DC, Division of Vascular Surgery, Uniformed University of the Health Sciences, Bethesda, Maryland, david.gillespie{at}na.amedd.army.mil

Traumatic hemorrhage and vascular injury management have been concerns for both civilian and military physicians. During the 20th century, advances in technique allowed surgeons to focus on vascular repair, restoration of perfusion, limb salvage, and life preservation. Military surgeons such as Makins, DeBakey, Hughes, Rich, and others made significant contributions to the field of surgery in general and vascular surgery in particular. Casualties from combat in Afghanistan and Iraq confront physicians and surgeons with devastating injuries. The current generation of providers is challenged with applying contemporary care while expanding upon the lessons taught by our predecessors. The objective of this report is to review the historical experience with managing military upper extremity arterial injuries and compare that experience with current management.

Key Words: vascular trauma • management • upper extremity • arterial

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 18, No. 2, 141-145 (2006)
DOI: 10.1177/1531003506293451


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