Nomenclature and innovative applications of intravascular tourniquets in the treatment of vascular injuries resulting from combat or trauma
MA Lian-ting
XIE Tian-hao
XU Feng
Xu Zhao-xi
HUANG He
QIN Jie
ZHAO Yue-yuan
AN Xue-feng
MA Sheng-hui
Abstract：During surgery,to minimize bleeding from vascular lesions or those with abundant blood supply,the upstream feeding artery of the lesion is dissected initially. Subsequently,blood flow is blocked and bleeding is controlled by applying a rubber band or soft cloth band outside the feeding artery before commencing the operation. This rubber or soft cloth band utilized for controlling blood flow is termed a tourniquet. Since it is employed outside the blood vessel,it can be designated as an "extravascular tourniquet". When the vascular lesion or tumor lesion with rich blood supply is situated deeply or in proximity to the base of the skull or major blood vessels of the trunk,and the upstream blood vessel of the lesion cannot be dissected during the operation,rendering the"extravascular tourniquet"inapplicable for blocking blood flow,we perform a percutaneous puncture of the femoral artery and send a 5F or 2F double-lumen balloon catheter to the upstream artery of the lesion under TV surveillance. Then,the balloon is filled with contrast agent to completely obstruct the blood flow,which can substitute the "extravascular tourniquet" and is referred to as an "intravascular tourniquet". This paper summarizes the application experience of the"intravascular tourniquet"in the treatment of vascular injuries resulting from combat or trauma for clinical reference.
Keywords：Vascular injuries in warfareIntravascular tourniquetClinical application
Publication Date：2024-09-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 513-517 )