[Symptoms, diagnosis and surgical treatment of posttraumatic arterial occlusion]

Diagnosis and surgical treatment of ischemic complications of trauma of peripheral vessels are analyzed. Thirty-eight patients with disease of ligated vessel and 48 patients with posttraumatic occlusion of great vessels were examined. Both diseases are included in one group called "posttraumatic arterial occlusion" due to similarity of clinical manifestations. This disease is diagnosed in 15 - 40% patients after vascular trauma. Bypass surgeries is the methods of choice for treatment of complications of isolated vascular trauma. This kind of surgery was used in 33 patients. If there are additional injuries of nervous trunks and tendons, direct autovenous revascularization is indicated. One-stage correction of injured vessels and adjacent structures was performed in 49.7% cases. The best results were achieved after bypass surgeries. The most number of unsatisfactory results were seen in patients with injuries of adjacent structures.