[Traumatic vascular injuries]

Area of Science:

• Vascular Surgery
• Trauma Management
• Endovascular Interventions

Background:

• Medical advancements since the early 20th century, including anesthesia and antisepsis, have continuously improved vascular injury treatment.
• Current preclinical management benefits from various damage control procedures.
• Vascular injuries require tailored treatment strategies based on type and severity.

Purpose of the Study:

• To review the evolution and current state of vascular injury treatment.
• To highlight the integration of endovascular procedures with traditional surgical methods.

Main Methods:

• Literature review of historical and contemporary treatment modalities for vascular injuries.
• Analysis of different vascular injury types (blunt, sharp, with or without defect) and their management.

Main Results:

• Vascular injury management has evolved from basic interventions to sophisticated surgical and endovascular techniques.
• Direct suture or graft replacement remains a cornerstone, increasingly augmented by endovascular procedures.
• Conservative management is limited to specific cases, with surgery being the predominant approach.

Conclusions:

• Modern vascular surgery integrates open and endovascular techniques for optimal treatment of vascular injuries.
• Continuous innovation in damage control and endovascular methods enhances patient care in vascular trauma.