Management of Blunt Peripheral Arterial Injury

Michael A. Peck*, Todd E. Rasmussen

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

23 Scopus citations


The recognition of blunt vascular injury has increased in recent years due to an improved understanding of blunt mechanical forces, mechanisms of injury, and awareness that such injuries are often occult. This has been aided by improved quality and expanded availability of noninvasive studies. As a result, outcomes following blunt vascular injury have improved. Compared to penetrating vascular injury and other vascular disease processes, blunt vascular injury has unique features that make it useful to consider as a distinct clinical entity. Manifestations of blunt vascular injury may develop in a delayed fashion and present with more subtle findings, such as a pulse deficit or diminished ankle-brachial pressure index. The objective of this review is to present a brief historical perspective on blunt vascular injury as well as an appraisal of current diagnostic and treatment strategies. Blunt vascular injury will be discussed in distinct anatomic regions, including cervical and upper and lower extremity and evidence-based management strategies developed.

Original languageEnglish
Pages (from-to)159-173
Number of pages15
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Issue number2
StatePublished - Jun 2006
Externally publishedYes


  • blunt vascular injury
  • cervical vascular injury
  • extremity vascular injury
  • noninvasive imaging


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