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Related Experiment Video

Updated: May 11, 2026

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

Published on: August 15, 2025

Iatrogenic vascular injuries with lethal outcome.

H Rudström¹, D Bergqvist, M Björck

¹Department of Surgical Sciences, Section of Vascular Surgery, Uppsala University, 751 85 Uppsala, Sweden. rudstrom.hakan@telia.com

World Journal of Surgery

|May 4, 2013

Summary

Iatrogenic vascular injuries (IVIs) can lead to death within 30 days, particularly following endovascular procedures. Almost half of these lethal vascular injuries were avoidable, highlighting a need for improved safety protocols.

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Last Updated: May 11, 2026

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

A Model of Acute Lung Injury Following Visceral Ischemia-Reperfusion by Supra-Coeliac Aortic Cross Clamping in Rats

Published on: August 15, 2025

Area of Science:

Vascular Surgery
Medical Error Analysis
Patient Safety

Background:

Iatrogenic vascular injuries (IVIs) are a significant concern in surgical outcomes.
Understanding the nature of IVIs associated with early postoperative death is crucial for improving patient care.

Purpose of the Study:

To investigate the characteristics of iatrogenic vascular injuries (IVIs) leading to death within 30 days of vascular surgery.
To identify the contributing factors and specialties involved in these fatal events.

Main Methods:

Analysis of patients who underwent vascular surgery for IVIs and died within 30 days, using data from the Swedish national vascular registry (1987-2008).
Cross-referencing with the national population registry and review of case records and death certificates for identified patients.

Main Results:

56 patients with postoperative death within 30 days after IVI were identified; 52 case records were reviewed.
Endovascular procedures (n=24) were the leading cause, followed by open surgery trauma (n=11) and external compression (n=6).
Interventional radiology (n=18), general surgery (n=9), and interventional cardiology (n=8) were the main specialties involved; 42% of IVIs were deemed avoidable.

Conclusions:

Interventional radiology, general surgery, and cardiology are key specialties associated with fatal iatrogenic vascular injuries.
While not all deaths are solely attributable to the IVI, a substantial proportion (42%) of these injuries were considered avoidable, indicating potential for prevention.