To verify the clinical effect and potential benefits of using temporary intravascular shunts (TIVS) with disposable intravenous infusion sets in major limb replantation.
Key Findings:
The amputation rate and incidence of compartment syndrome were significantly lower in the TIVS group compared to the no shunt group (p < 0.05).
No significant difference was found in thrombosis rate and vascular revision rate between the two groups.
The average time to install the temporary vascular shunt was 10 ± 1.5 minutes.
Interpretation:
The use of disposable intravenous infusion sets as TIVS during major limb replantation may improve limb survival and reduce complications associated with ischemia-reperfusion injury, suggesting a need for broader clinical adoption.
Limitations:
Retrospective design limits the ability to establish causality, and small sample size may affect the generalizability of the findings, warranting caution in interpretation.
Conclusion:
Temporary intravascular shunting using disposable intravenous infusion sets shows promise in enhancing outcomes in major limb replantation surgeries, highlighting the need for further controlled studies.
