vascular injury

Vascular Injury

Arterial injury

 

Incidence

 

0.05%

 

Types

 

1. Thrombosis

- most common scenario

- tourniquet with atherosclerosis

- indirect damage to vessel

- femoral or popliteal

 

2.  Embolisation

- atherosclerosis again

- blue toes syndrome post operatively

 

3.  Vessel transection

 

Vascular Injury

Vessels at risk

 

Extra-pelvic blood vessels

 

Femoral Artery

MCFA

LCFA

Profunda Femoris

Obturator artery

 

Intrapelvic vessels

 

External iliac artery and vein

Obturator artery

Superior and inferior gluteal

 

External Iliac Vessels

 

Anatomy

- anterior division of common iliacs / L5-S1