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Elective vascular reconstruction after trauma.

N M Rich, R W Hobson, G J Collins

    American Journal of Surgery
    |December 11, 1975
    PubMed
    Summary
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    Vascular reconstruction successfully treated 135 vascular lesions from trauma, including arteriovenous fistulas and aneurysms. Surgical repair led to no operative deaths and low graft occlusion rates, ensuring positive patient outcomes.

    Area of Science:

    • Vascular Surgery
    • Trauma Surgery
    • Surgical Reconstruction

    Background:

    • Vascular trauma, from both combat and civilian incidents, necessitates surgical intervention.
    • A significant number of vascular lesions require elective reconstruction.
    • Common lesions include arteriovenous fistulas, false aneurysms, thrombosis, and stenosis.

    Purpose of the Study:

    • To evaluate the outcomes of elective vascular reconstruction for traumatic vascular lesions.
    • To analyze the types of vascular lesions treated and their anatomical locations.
    • To assess the efficacy and safety of surgical techniques used in managing these injuries.

    Main Methods:

    • Retrospective review of 135 vascular reconstructions performed between 1967 and 1974.
    • Analysis of lesion types (fistulas, aneurysms, thrombosis, stenosis) and affected arteries (popliteal, superficial femoral, brachial).

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  • Surgical repair techniques focused on arterial reconstruction, with emphasis on venous repair for fistulas.

    • Main Results:

    • No operative or related postoperative deaths occurred.
    • Low rates of graft occlusion: 0.7% early and 1.5% late.
    • Successful management of arteriovenous fistulas, false aneurysms, arterial thrombosis, and stenosis.

    Conclusions:

    • Elective vascular reconstruction is a safe and effective treatment for traumatic vascular lesions.
    • Surgical repair yields excellent outcomes with minimal complications.
    • The study highlights successful management strategies for diverse vascular injuries.