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Intimal Injuries

- Discussion:
      - intimal injury occurring with fractures may be extensive, & full extent of the injury may be evident only after arteriotomy;
       - intimal injury may be manifested as intimal frx w/ thrombosis, intimal dissection, or a subintimal hematoma, which can all lead to 
             occlusion of the artery;

- Repair:
    - may then consist of lateral arteriorrhaphy, reattachment of intima for circumferential tear, resection with end-to-end anastomosis,
         venous patch graft, interposition graft with autogeneic vein or prosthetic graft, or a bypass graft;
    - at end of the case completion arteriogram is performed to assess quality of vascular reconstruction for intimal defects, suture line
         problems, and the adequacy of the distal runoff

A prospective evaluation of arterial intimal injuries in an experimental model.

Arterial intimal flaps: a comparison of primary repair, aspirin, and endovascular excision in an experimental model.

Management of the contused arterial segment.

Traumatic intimal rupture of the popliteal artery with acute ischemia of the limb in cases with supracondylar fractures of the femur.