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The Management of Trauma Venous Injury: Civilian and Wartime Experiences

Vascular Surgery Service, Walter Reed Army Medical Center, Washington, District of Columbia, and Division of Vascular Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, Reagan.Quan{at}us.army.mil

Eric D. Adams, MD

Vascular Surgery Service, Walter Reed Army Medical Center, Washington, District of Columbia, and Division of Vascular Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Mitchell W. Cox, MD

Vascular Surgery Service, Walter Reed Army Medical Center, Washington, District of Columbia, and Division of Vascular Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Matthew J. Eagleton, MD

Vascular Surgery Service, Walter Reed Army Medical Center, Washington, District of Columbia, and Division of Vascular Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Michael A. Weber, MD

Vascular Surgery Service, Walter Reed Army Medical Center, Washington, District of Columbia, and Division of Vascular Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland

Charles J. Fox, MD

Vascular Surgery Service, Walter Reed Army Medical Center, Washington, District of Columbia, and Division of Vascular Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland

David L. Gillespie, MD

Vascular Surgery Service, Walter Reed Army Medical Center, Washington, District of Columbia, and Division of Vascular Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland

The management of venous trauma continues to be debated. Historically, ligation of injured veins is the most common modality of surgical treatment. In the past half-century, additional techniques have been used, including primary repair, interposition graft, and occasionally endovascular techniques. Venous repair, whether in the acute or chronic setting, is believed to prevent or ameliorate the complications of pain, edema, and phlegmasia. Venous repair in civilian trauma and in wartime is commonplace; however, overall treatment strategies remain largely unchanged since the Vietnam War.

Key Words: venous trauma • venous shunts • venous grafts • arteriovenous fistula • phlegmasia

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 18, No. 2, 149-156 (2006)
DOI: 10.1177/1531003506293452


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