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.