Utilization of a paediatric feeding tube for temporary arterial revascularisation/vascular salvage in traumatic extremity injury within a regional hospital setting

We present the management of a 16-year-old female patient with a complete transection of the right brachial artery, following a close-range high velocity penetrating gunshot wound. Due to the unique challenges posed in a regional setting, lack of formal vascular expertise on-site, and inability to transfer to a vascular trauma centre, a Temporary Intravascular Shunt was employed using a paediatric feeding tube to revascularise the limb. This article highlights the successful temporary revascularization approach and the importance of resourcefulness in managing complex vascular trauma in non-specialized centres.

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Publication Details

Journal
Journal of Surgical Case Reports
Published
2024-08-01
DOI
https://doi.org/10.1093/jscr/rjae509
Primary Topic
Trauma and Emergency Care Studies
Type
article
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article

Utilization of a paediatric feeding tube for temporary arterial revascularisation/vascular salvage in traumatic extremity injury within a regional hospital setting

Damian Fry, Johnny Arakkakunnel
Journal of Surgical Case Reports
Trauma and Emergency Care Studies
article

Utilization of a paediatric feeding tube for temporary arterial revascularisation/vascular salvage in traumatic extremity injury within a regional hospital setting

Damian Fry, Johnny Arakkakunnel
article en

Abstract

We present the management of a 16-year-old female patient with a complete transection of the right brachial artery, following a close-range high velocity penetrating gunshot wound. Due to the unique challenges posed in a regional setting, lack of formal vascular expertise on-site, and inability to transfer to a vascular trauma centre, a Temporary Intravascular Shunt was employed using a paediatric feeding tube to revascularise the limb. This article highlights the successful temporary revascularization approach and the importance of resourcefulness in managing complex vascular trauma in non-specialized centres.

Journal of Surgical Case ReportsVol. 2024(8)
University of Southern Queensland (AU), Toowoomba Hospital (AU)
Openalex Percentile: Top 76%
Trauma and Emergency Care Studies
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