Temporary IntraVascular Shunts in patients undergoing damage control at the Lourenço Jorge Municipal Hospital in Rio do Janeiro: experience over the last 4 years

• DOI: 10.22533/at.ed.1593762320095

• Palavras-chave: Vascular trauma; Injury of extremities; Temporary intravascular shunt; Damage control.

• Keywords: Vascular trauma; Injury of extremities; Temporary intravascular shunt; Damage control.

• Abstract:

  The study is based on the evaluation of cases of Temporary IntraVascular Bypasses (DIVTs) performed in the last 4 years in patients undergoing damage control at the Hospital Municipal Lourenço Jorge in Rio de Janeiro, considering the injured vessel, material used, conformation of use (linear or “loop”), use of anticoagulants, patency, limb salvage, complications and mortality. Of the 12 patients, 10 were victims of gunshot wound trauma (PAF) and 2 were victims of blunt trauma, none received systemic anticoagulation in phase 2 (resuscitation in the intensive care unit - ICU), non-dedicated materials were used (such as Nelaton probes), with patency of 93%, mortality of 33% and only 1 amputation, concluding that DIVTs are of fundamental importance to avoid the deadly triad, and this case series portrays the relevance of this therapeutic arsenal.