Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6
pubmed:dateCreated
1996-2-8
pubmed:abstractText
Vascular trauma is associated with major morbidity and mortality, but little is known about its incidence or nature in Britain. A retrospective study of 36 patients requiring operative intervention for vascular trauma under one vascular surgeon over a 6-year period was undertaken. Twenty-four patients suffered iatrogenic trauma (median age 61 years); including cardiological intervention (19), radiological intervention (2), varicose vein surgery (1), umbilical vein catherisation (1) and isolated hyperthermic limb perfusion (1). There were 23 arterial and three venous injuries. Twelve patients had accidental trauma (median age 23 years). Three of the ten patients with blunt trauma were referred for vascular assessment before orthopaedic intervention, two after an on-table angiogram and five only after an initial orthopaedic procedure (range of delay 6 h to 10 days). Injuries were arterial in nine, venous in two and combined in one. Angiography was obtained in six patients, and in two patients with multiple upper limb fractures identified the site of injury when clinical localisation was difficult. A variety of vascular techniques were used to treat the injuries. Two patients died postoperatively and one underwent major limb amputation. Thirty-two (89%) remain free of vascular sequelae after a median follow-up of 48 months (range 3-72 months). Vascular trauma is uncommon in the United Kingdom. To repair the injuries a limited repertoire of vascular surgery techniques is needed. Therefore, vascular surgical assessment should be sought at an early stage to prevent major limb loss.
pubmed:commentsCorrections
http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-1544949, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-1568384, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-17858758, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-1825615, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-1880842, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-1920227, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-2223538, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-2398588, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-6623360, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-8322148, http://linkedlifedata.com/resource/pubmed/commentcorrection/8540659-918856
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0035-8843
pubmed:author
pubmed:issnType
Print
pubmed:volume
77
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
417-20
pubmed:dateRevised
2009-11-18
pubmed:meshHeading
pubmed:year
1995
pubmed:articleTitle
Vascular trauma in civilian practice.
pubmed:affiliation
Cardiff Vascular Unit, University Hospital of Wales.
pubmed:publicationType
Journal Article, Research Support, Non-U.S. Gov't