Evaluation and Management of Peripheral
Vascular Injury
Part 1

Annotation for Point L

 An imaging study that documents the presence of extravasation, an acute pulsatile hematoma or early pseudoaneurysm, occlusion, or an arteriovenous fistula of a major named artery mandates an emergent operation, depending on location. As in “C,” this would be appropriate in major named arterial injuries in the upper extremity, thigh excluding the profunda femoris artery, or proximal to the anterior tibial artery and tibioperoneal bifurcation in the leg.