Tibial artery injuries.

Twenty-eight consecutive patients with tibial or peroneal artery injury are reported. Of these, eight underwent direct arterial repair, eight received vein graft reconstruction, and the involved artery was ligated in the remainder, with amputation required for various reasons in four. Tibial or peroneal artery injury is a relatively common problem. Successful management requires an aggressive approach to early diagnosis, which in turn requires a high index of suspicion and arteriography. Early appropriate management will prevent the serious complications of ischemia, false aneurysm, arteriovenous fistula, and fascial compartment compression. The reconstruction of injured arteries of the lower leg is usually possible and should be accorded more attention than it has received in the past.

Injury to the popliteal artery.

Popliteal artery injury is a common clinical problem which has been associated with a relatively high rate of limb loss. Proper management of popliteal artery injury, which includes attention to minimizing delay, repair of venous injury, careful technique and appropriate fasciotomy can result in substantial improvement in the rate of limb salvage following popliteal artery injury.

Arterial surgery for arm ischemia. A survey of 136 patients.

A series of 136 patients with upper extremity ischemia requiring operative correction is presented. Causes of the ischemia included trauma, atherosclerosis, embolism, iatrogenic causes, radiation injury, and cervical rib syndrome. Operations included primary repair, various bypass grafts and embolectomy. Illustrative case reports are used to emphasize important points. The subclavian, axillary and brachial arteries have been considered separately. In general, ischemia of the arm caused by a discrete lesion is amenable to surgical correction with an excellent change of success.