Vascular injuries: trends in management

Trauma Monthly
Mohd Lateef WaniNasir-Ud-Din Wani

Abstract

Vascular injury presents a great challenge to the emergency resident because these injuries require urgent intervention to prevent loss of life or limb. Sometimes serious vascular injury presents with only subtle or occult signs or symptoms. The patient may present weeks or months after initial injury with symptoms of vascular insufficiency, embolization, pseudoaneurysm, arteriovenous fistula etc. Although the majority of vascular injuries are caused by penetrating trauma from gunshot wounds, stabbing or blast injury, the possibility of vascular injury needs to be considered in patients presenting with displaced long bone fractures, crush injury, prolonged immobilization in a fixed position by tight casts or bandages and various invasive procedures. iatrogenic vascular injuries constitute about 10% of cases in most series; however the incidence is an increasing trend because more endovascular procedures such as angioplasty and cardiac catheterization are being performed routinely. Civilian trauma is more frequently seen in young males. However, it can occur at any age due to road accidents, firearms, bomb blasts and diagnostic procedures. Most of the time, civilian trauma causes less tissue damage. There is an epidemic of vascu...Continue Reading

References

Mar 1, 1991·Archives of Surgery·W R FryW J Fry
Dec 1, 1974·American Journal of Surgery·K L MattoxM E DeBakey
Mar 1, 1994·American Journal of Surgery·A HirshbergK L Mattox
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Jun 3, 2011·Journal of Emergencies, Trauma, and Shock·Mohd Lateef WaniIfat Irshad

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Citations

Oct 7, 2014·Current Reviews in Musculoskeletal Medicine·Daniel C Wascher, Luke Bulthuis
Jan 17, 2019·Current Urology Reports·Javier GonzálezEnrique Lledó-García
Jun 30, 2019·Vascular and Endovascular Surgery·Konstantinos FilisGeorge Galyfos
Apr 25, 2020·Der Urologe. Ausg. A·J D SüssJ Steffens
Aug 14, 2020·Curēus·Anupam K GuptaNir Hus
Jan 30, 2021·Journal of Orthopaedic Trauma·Amir A ShahienPaul Tornetta

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Methods Mentioned

BETA
amputation

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