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A decade of civilian vascular trauma in Kosovo.

Jaha L, Andreevska T, Rudari H, Ademi B, Ismaili-Jaha V - World J Emerg Surg (2012)

Bottom Line: The most frequently injured vessel was the superficial femoral artery (25%), followed by the brachial artery (20.9%), crural arteries (13.1%), forearm arteries (14.3%), iliac arteries (7.5%), abdominal aorta (3.3%), common femoral artery (3.3%) and popliteal artery (3.3%).The decision to operate was made based on the presence of "hard signs" of vascular trauma.Injuries to the arteries are associated with significant mortality and morbidity.

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Affiliation: Department of Vascular Surgery, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo. ljaha@yahoo.com.

ABSTRACT

Purpose: We sought to analyze the results of arterial injury management in a busy metropolitan vascular unit and risk factors associated with mortality and morbidity.

Patients and methods: We analyzed 120 patient with arterial injury treated between year 2000 and 2010 at the University Clinical Center of Kosovo. Seven of these years were prospective and three retrospective study.

Results: The mechanism of arterial injury was stabbing 46.66%, gunshot wounds in 31.66%, blunt in 13.33%, and landmine in 8.33%. The most frequently injured vessel was the superficial femoral artery (25%), followed by the brachial artery (20.9%), crural arteries (13.1%), forearm arteries (14.3%), iliac arteries (7.5%), abdominal aorta (3.3%), common femoral artery (3.3%) and popliteal artery (3.3%). Associated injuries including bone, nerve and remote injury (affecting the head, chest, or abdomen) were present in 24.2% of patients. The decision to operate was made based on the presence of "hard signs" of vascular trauma. Arterial reconstruction was performed in 90.8% of patients, 5.8% of patients underwent primary amputation and 3.2% died on the operation table. Overall survival rate was 95.8%.

Conclusion: Injuries to the arteries are associated with significant mortality and morbidity. Mechanism of injury (blunt, gunshot, landmine or stub), hemodynamic stability at the admission, localization of injury, time from injury to flow restitution, associated injuries to the structures in the region and remote organs are critical factors influencing outcome.

No MeSH data available.


Related in: MedlinePlus

Anatomic distribution of injuries.
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Figure 2: Anatomic distribution of injuries.

Mentions: Evaluation of the data on the site of injury indicates that the superficial femoral artery was the most commonly injured in gunshot and injuries inflicted by landmines, while the brachial artery injuries inflicted by sharp objects. Superficial femoral artery and brachial artery were the equally frequent in blunt trauma (Figure 2).


A decade of civilian vascular trauma in Kosovo.

Jaha L, Andreevska T, Rudari H, Ademi B, Ismaili-Jaha V - World J Emerg Surg (2012)

Anatomic distribution of injuries.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3472200&req=5

Figure 2: Anatomic distribution of injuries.
Mentions: Evaluation of the data on the site of injury indicates that the superficial femoral artery was the most commonly injured in gunshot and injuries inflicted by landmines, while the brachial artery injuries inflicted by sharp objects. Superficial femoral artery and brachial artery were the equally frequent in blunt trauma (Figure 2).

Bottom Line: The most frequently injured vessel was the superficial femoral artery (25%), followed by the brachial artery (20.9%), crural arteries (13.1%), forearm arteries (14.3%), iliac arteries (7.5%), abdominal aorta (3.3%), common femoral artery (3.3%) and popliteal artery (3.3%).The decision to operate was made based on the presence of "hard signs" of vascular trauma.Injuries to the arteries are associated with significant mortality and morbidity.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Vascular Surgery, University Clinical Center of Kosovo, Prishtina, Republic of Kosovo. ljaha@yahoo.com.

ABSTRACT

Purpose: We sought to analyze the results of arterial injury management in a busy metropolitan vascular unit and risk factors associated with mortality and morbidity.

Patients and methods: We analyzed 120 patient with arterial injury treated between year 2000 and 2010 at the University Clinical Center of Kosovo. Seven of these years were prospective and three retrospective study.

Results: The mechanism of arterial injury was stabbing 46.66%, gunshot wounds in 31.66%, blunt in 13.33%, and landmine in 8.33%. The most frequently injured vessel was the superficial femoral artery (25%), followed by the brachial artery (20.9%), crural arteries (13.1%), forearm arteries (14.3%), iliac arteries (7.5%), abdominal aorta (3.3%), common femoral artery (3.3%) and popliteal artery (3.3%). Associated injuries including bone, nerve and remote injury (affecting the head, chest, or abdomen) were present in 24.2% of patients. The decision to operate was made based on the presence of "hard signs" of vascular trauma. Arterial reconstruction was performed in 90.8% of patients, 5.8% of patients underwent primary amputation and 3.2% died on the operation table. Overall survival rate was 95.8%.

Conclusion: Injuries to the arteries are associated with significant mortality and morbidity. Mechanism of injury (blunt, gunshot, landmine or stub), hemodynamic stability at the admission, localization of injury, time from injury to flow restitution, associated injuries to the structures in the region and remote organs are critical factors influencing outcome.

No MeSH data available.


Related in: MedlinePlus