Evaluation and Management of Peripheral
Vascular Injury
Part 2

Annotation for Point N

Completion arteriograms are routinely performed in hemodynamically stable patients after peripheral arterial repairs under the following circumstances: (1) when there has been a delay in diagnosis and/or treatment; (2) when palpable pulses are not present at the ankle or wrist after repair; (3) when there has been a complex repair such as segmental resection and an end-to-end anastomosis or insertion of an interposition graft; or (4) when there is concern about narrowing of an anastomosis.³⁶ After completion of the arterial repair, metal clips are placed on adjacent soft tissue to mark the level of the single or proximal/distal anastomoses. A standard completion arteriogram is then performed.