Abstract
Rapid hemostasis is vital to preserve life in cases of vascular trauma. In vascular trauma of the extremities, the functional prognosis needs to be considered. A 43-year-old man suffered an impalement injury to his right thigh with a metal rod while working. He was taken to the hospital in an air ambulance, simultaneously undergoing medical treatment. He required emergency surgery for hemorrhagic shock as his thigh injury continued bleeding on arrival at the hospital. The damaged right superficial femoral artery and vein were revascularized with great saphenous vein grafts. After surgery, the right lower limb did not show any swelling. He recovered locomotor function on rehabilitation and was subsequently discharged. Immediate hemostasis with a balloon catheter and rapid revascularization of the injured vessels with autologous vascular grafts enabled us to save his life and locomotor function without complications like compartment syndrome. In case of extremity vascular trauma, rapid hemostasis, revascularization, and preventing post-operative complications are vital for life saving and improving the functional prognosis.
