부산대학교 도서관

To link to full-text access for this article, visit this link: http://dx.doi.org/10.1016/j.ejvs.2006.02.004 Byline: A.A.B. Barros D'Sa, D.W. Harkin, P.H.B. Blair, J.M. Hood, E. McIlrath Abstract: Complex lower limb vascular injuries (CLVIs) in high-energy penetrating or blunt trauma are associated with an unacceptably high incidence of complications including amputation. Traumatic ischaemia and ischaemia-reperfusion injury (IRI) of skeletal muscle often lead to limb loss, the systemic inflammatory response syndrome (SIRS) which affects remote organs and even the potentially fatal multiple organ dysfunction syndrome (MODS). Surgical care of CLVIs everywhere, including Northern Ireland until 1978, was governed by an anxiety to restore arterial flow quickly often using expedient and flawed repair techniques while a damaged major vein was frequently ligated. Author Affiliation: Regional Vascular Surgery Unit, The Royal Victoria Hospital, Belfast, UK Article History: Accepted 6 February 2006