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Iatrogenic Vascular Injuries of the Abdomen and Pelvis: The Experience at a Hellenic University Hospital

Konstantinos Filis1, Fragiska Sigala1, Triantafyllou Stamatina1

  • 11 First Propedeutic Department of Surgery, Hippocration Hospital, National and Kapodistrian University of Athens, Athens, Greece.

Vascular and Endovascular Surgery
|June 29, 2019
PubMed

Insights

Iatrogenic vascular injuries (IVIs) in the abdomen or pelvis are often linked to general surgery and cardiology procedures. Early vascular consultation can lower mortality, with conservative management showing promise for select patients.

Area of Science:

  • Vascular Surgery
  • Surgical Outcomes
  • Trauma Management

Background:

  • Presents the experience of managing iatrogenic vascular injuries (IVIs) of the abdomen or pelvis.
  • Focuses on cases requiring vascular surgeon consultation within a university hospital setting.

Purpose of the Study:

  • To evaluate the management and outcomes of iatrogenic vascular injuries (IVIs) in the abdomen or pelvis.
  • To identify risk factors for mortality and assess conservative treatment options.

Main Methods:

  • Retrospective study of IVIs over a 10-year period.
  • Included only injuries requiring vascular surgeon consultation.
  • Evaluated 30-day mortality and major complications.

Main Results:

  • 70 IVIs recorded: 41% venous, 59% arterial.
  • Iliac arteries were most common (51%), rupture/lacerations most frequent (73%).
  • General surgery (61.5%) and cardiology (30%) procedures were most implicated; 30-day mortality was 5.7%.

Conclusions:

  • IVIs are associated with general surgery and endovascular procedures.
  • Early vascular consultation is crucial for reducing mortality.
  • Conservative management is effective for select stable patients with pelvic/retroperitoneal hematomas.
Abstract

Keywords:
abdomeniatrogenicpelvisvascular injury

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