Iliac vessel injuries

The Surgical Clinics of North America
James T Lee, Frederic S Bongard

Abstract

Trauma to the iliac vasculature continues to pose a significant challenge to management. In several large series, mortality for penetrating injuries is reported as approaching 40%. Uncontrollable hemorrhage originating from an anatomically inaccessible source and multiple associated injuries often contribute to this high mortality rate. This article discusses the current existing management strategies and the controversial role of PTFE in vascular reconstruction within a contaminated field. Concomitant injuries to the enteric viscera and genitourinary system are also addressed. Postoperative management including anticoagulation and the complications of liberal fasciotomy are mentioned. The evolving role of endovascular therapy as an adjunctive modality in the armamentarium of the trauma surgeon is also presented briefly.

References

Dec 1, 1978·American Journal of Surgery·K L MattoxM E DeBakey
Mar 1, 1990·The Journal of Trauma·R F WilsonM Balog
Aug 1, 1989·Archives of Surgery·R J LandreneauW J Fry
Oct 1, 1988·The Journal of Trauma·R SmejkalS E Ross
Jul 1, 1972·American Journal of Surgery·P YosowitzN M Rich
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Feb 1, 1969·The Journal of Trauma·N R ThomfordS A Marable
Feb 1, 1969·Archives of Surgery·L Bizer
Sep 1, 1980·The Journal of Trauma·R J MullinsA M Ledgerwood
Nov 1, 1980·The Journal of Trauma·R H GelbermanA Fronek

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Citations

Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·G RuizJuan A Asensio-Gonzalez
Jun 6, 2012·Annals of Vascular Surgery·Wouter WillaertPiet Pattyn
Oct 22, 2013·Journal of Vascular Surgery·Donald G HarrisRobert S Crawford
Aug 1, 2012·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·M KsyckiJ A Asensio
Mar 28, 2021·Journal of Vascular Surgery. Venous and Lymphatic Disorders·Reinier R SmeetsBarend M E Mees
Dec 15, 2017·Journal of Visceral Surgery·E HornezS Bonnet

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