Evaluation and Management of Peripheral
Vascular Injury
Part 1

Annotation for Point M

 In the hemodynamically stable patient, an imaging study that documents a wall defect with extravasation, occlusion, or the presence of an arteriovenous fistula in the profunda femoris, anterior tibial, posterior tibial, or peroneal arteries is followed by observation (occlusion) or therapeutic embolization (extravasation, arteriovenous fistula). A repeat arteriogram or duplex ultrasonography is performed 3 days to 5 days later in patients with occlusion to rule out the presence of an acute pulsatile hematoma or pseudoaneurysm developing from distal backflow.