JOURNAL OF VASCULAR SURGERYVolume 58, Number 5 Abstracts 1439

Use of Vascular Shunts in Unstable Lower Extremity Trauma PatientsShoaib Shafique. CorVasc MDs, Indianapolis, Ind

We present a case of a 25-year-old male with gunshot to both lowerextremities who was unstable at the time of admission. Bilateral superficial

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femoral arter and femoral vein injuries were found on exploration. Sincethe patient was unstable due to massive bleeding, vascular continuity wasrestored using argyle shunts in all vessels. Shunts were secured using vesselloops. After control of bleeding, the patient was started on heparin. Patientwas taken to the intensive care unit for resuscitation. The patient wasbrought back to the operating room 24 hours later, and bilateral superficialfemoral arteries and femoral veins were repaired using saphenous vein grafts.Vascular continuity was restored. Both legs had normal perfusion aftervascular reconstruction.

Conclusions: Use of intravascular shunts is a safe alternative to defin-itive vascular reconstruction in unstable trauma patients.

Duplex Ultrasound Surveillance After Uncomplicated EndovascularAbdominal Aortic Aneurysm RepairJacob S. Schaeffer, Irina Shakhnovich, Mohammed Al-Hamadini, Kara J.Kallies, Thomas H. Cogbill, Clark A. Davis. Gundersen MedicalFoundation, La Crosse, Wisc; and Gundersen Health System, La Crosse,Wisc

Objectives: Cost of health care and increased cumulative risk of radi-ation and intravenous contrast exposure challenges computed tomographicangiography (CTA) as the standard method of surveillance after endovascu-lar abdominal aortic aneurysm repair (EVAR). We present a review of ourpractice using duplex ultrasound (DUS) as an initial and subsequent surveil-lance technique in uncomplicated EVAR.