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[Extremity vascular traumas].

Romeo Angelini1, Ferdinando Rutolo, Giuseppe Cozzolino

  • 1U.O. di Chirurgia Vascolare, Ospedale Clinicizzato SS Annunziata, Chieti.

Annali Italiani Di Chirurgia
|November 24, 2005
PubMed
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Rapid treatment of vascular trauma, whether from accidents or medical procedures, significantly improves limb salvage rates. A multidisciplinary team approach is key to achieving good outcomes in these critical vascular injury cases.

Area of Science:

  • Vascular Surgery
  • Trauma Management
  • Diagnostic Imaging

Background:

  • Vascular trauma presents a significant challenge in emergency medicine.
  • Treatment outcomes are highly dependent on timely intervention.
  • Distinguishing between traumatic and iatrogenic causes is crucial for management.

Purpose of the Study:

  • To analyze the outcomes of 61 vascular trauma cases over seven years.
  • To compare results between traumatic injuries and iatrogenic causes.
  • To identify factors contributing to successful limb salvage.

Main Methods:

  • Retrospective analysis of 61 vascular trauma patients.
  • Utilized ecocolor Doppler in the operating theatre for diagnosis.
  • Employed pre-operative angiography for complex lower limb traumas (10 cases).

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Main Results:

  • Overall limb salvage rate of 90.1% (55 cases).
  • Mortality rate of 3.27% in each group.
  • Limb amputation required in 6.93% of traumatic cases; neurological and motor deficits observed.

Conclusions:

  • Prompt treatment following acute vascular events is critical.
  • A multidisciplinary, rapid-response team approach enhances limb salvage.
  • Effective diagnostic imaging, including Doppler and angiography, is vital.