Management of Pediatric Traumatic Lower Extremity Vascular Injuries.

Pediatric lower extremity vascular injuries are challenging to manage and treat. Early recognition and a high index of suspicion is needed to ensure accurate diagnosis and timely interventions to prevent limb loss. These injuries present numerous technical challenges to the surgical multidisciplinary team, particularly in the very young. Technical challenges relate to small vessel size, vasospasm, and at times lack of suitable conduit for vascular reconstructions. Literature describing accepted clinical algorithms and techniques to manage these patients and their injuries are sparse. Moreover, there is significant variability in clinical specialties involved in their care. The goal of this review is to summarize different injury patterns and promote management strategies that have been successful among practitioners experienced in managing pediatric extremity vascular trauma.