{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:12:24Z","timestamp":1777943544314,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2014,10,9]],"date-time":"2014-10-09T00:00:00Z","timestamp":1412812800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2015,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Trauma patients with sudden loss of distal perfusion due to tibial injuries are frequently not offered vascular interventions if a single vessel retains patency. We hypothesized that sudden loss of either all or some tibial vasculature would result in increased non-operative failure and higher amputation rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this retrospective observational study, all traumatically injured patients from 2009 to 2012 with CT-angiogram\u2013confirmed anterior tibial, posterior tibial, or peroneal artery injuries were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>From 2009 to 2012, 437 patients were admitted with arterial extremity injury of which 234 (53%) were lower extremity. From this group, 84 (36%) patients were identified with CT-angiogram\u2013confirmed limited or no flow in the tibial arteries. A total of 44% (4\/9) with 0 or 1 tibial vessel failed observation while only 8% (2\/27) failed if they had 2 or 3 patent vessels ( p\u2009&lt;\u20090.05). Amputation rate was inversely related the number of open tibial vessels. There were 2.7 open tibial vessels in the limb salvage group compared to 1.1 in the amputation group ( p\u2009&lt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Patients who failed an initial trial of observation were significantly more likely to have 0 or 1 tibial vessels patent. The number of open tibial vessels is significantly associated with limb salvage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1708538114554925","type":"journal-article","created":{"date-parts":[[2014,10,9]],"date-time":"2014-10-09T23:55:03Z","timestamp":1412898903000},"page":"468-473","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Observation may be an inadequate approach for injured extremities with single tibial vessel run-off"],"prefix":"10.1177","volume":"23","author":[{"given":"Anahita","family":"Dua","sequence":"first","affiliation":[{"name":"Center for Translational Injury Research (CeTIR), Department of Surgery, University of Texas\u2013Houston, TX, USA"},{"name":"Department of Surgery, Medical College of Wisconsin, WI, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sapan S","family":"Desai","sequence":"additional","affiliation":[{"name":"Department Vascular Surgery, Southern Illinois University, IL, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sean","family":"Johnston","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Texas\u2013Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naga R","family":"Chinapuvvula","sequence":"additional","affiliation":[{"name":"Department of Radiology, University of Texas\u2013Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"DuBose","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas\u2013Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristofer","family":"Charlton-Ouw","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas\u2013Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Azizzadeh","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic and Vascular Surgery, University of Texas\u2013Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Burgess","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, University of Houston\u2013Texas, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles E","family":"Wade","sequence":"additional","affiliation":[{"name":"Center for Translational Injury Research (CeTIR), Department of Surgery, University of Texas\u2013Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles J","family":"Fox","sequence":"additional","affiliation":[{"name":"Department of Surgery, Denver Health Medical Center and the University of Colorado School of Medicine, CO, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John B","family":"Holcomb","sequence":"additional","affiliation":[{"name":"Center for Translational Injury Research (CeTIR), Department of Surgery, University of Texas\u2013Houston, TX, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,10,9]]},"reference":[{"key":"bibr1-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198503000-00006"},{"key":"bibr2-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2012.06.110"},{"key":"bibr3-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(94)80040-5"},{"key":"bibr4-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2004.08.037"},{"key":"bibr5-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)80139-4"},{"key":"bibr6-1708538114554925","unstructured":"Cronenwett JL and Johnston W. Trauma and acute limb ischemia, section 19. In:\n                      Rutherford's vascular surgery\n                      . 7th ed. Philadelphia, PA: Elsevier, 2010, p. 2370."},{"key":"bibr7-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2013.04.006"},{"key":"bibr8-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2013.06.017"},{"key":"bibr9-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31827018e4"},{"key":"bibr10-1708538114554925","doi-asserted-by":"publisher","DOI":"10.14797\/mdcj-9-2-103"},{"key":"bibr11-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2008.08.022"},{"key":"bibr12-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.2008.166298"},{"key":"bibr13-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1113\/jphysiol.2008.160101"},{"key":"bibr14-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2004.02.020"},{"key":"bibr15-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.02.017"},{"key":"bibr16-1708538114554925","unstructured":"Scalea JR, Crawford RS, Scurci S, et\u00a0al. Below-the-knee arterial injury: the type of vessel may be more important than the number of vessels injured (abstract). In:\n                      Western Trauma Association 44th annual meeting\n                      , Steamboat Springs, CO, 2\u20137 March 2014. Newnan, GA: Western Trauma Association 2014, p. 59."},{"key":"bibr17-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(87)90243-1"},{"key":"bibr18-1708538114554925","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-198802000-00020"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538114554925","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1708538114554925","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538114554925","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:28:29Z","timestamp":1777706909000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1708538114554925"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,10,9]]},"references-count":18,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2015,10]]}},"alternative-id":["10.1177\/1708538114554925"],"URL":"https:\/\/doi.org\/10.1177\/1708538114554925","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,10,9]]}}}