Definition
The vascular shunt describes a temporary conduit that is designed to carry blood across an injured segment of a blood vessel. The conduit varies, most commonly being an adapted carotid shunt, such as a Javid or Pruitt-Inahara type. Alternatively, any type of available tubing may be used, including extension sets, suction catheters, or any suitable silastic tube. Once proximal and distal control of the injured vessel has been obtained with vessel loops or fine vascular clamps, the shunt may be inserted. The shunt is secured using ties, vessel loops, clamps, or, in the case of the Pruitt-Inahara, balloons. It is left in place to avoid ischemia to the affected limb or organ and to achieve relative hemostasis until systemic stabilization has been accomplished. Once the patient has been stabilized enough to allow definitive repair, the patient is returned to the operating room where repair or formal bypass can be performed after...
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Lukan, J.K. (2015). Adjuncts to Damage Control Laparotomy: Vascular Shunts. In: Papadakos, P.J., Gestring, M.L. (eds) Encyclopedia of Trauma Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29613-0_643
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DOI: https://doi.org/10.1007/978-3-642-29613-0_643
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