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Principles and Practice in Pediatric Vascular Trauma: Part 1: Scope of Problem, Team Structure, Multidisciplinary

Matthew T Harting1, Natalie A Drucker2, Mary T Austin3

  • 1Department of Pediatric Surgery, McGovern Medical School at The University of Texas Health Science Center, Houston, TX, USA; Red Duke Trauma Institute at Memorial Hermann - Texas Medical Center, Houston, TX, USA; Children's Memorial Hermann Hospital, Houston, TX, USA.

Journal of Vascular Surgery
|June 2, 2025
PubMed

Insights

Penetrating injuries are a leading cause of death in US children. Optimizing pediatric vascular trauma response teams is crucial for managing these critical injuries and improving patient outcomes.

Area of Science:

  • Pediatric Trauma Surgery
  • Vascular Surgery
  • Public Health

Background:

  • Penetrating injuries are the leading cause of death for US children and adolescents (ages 1-19) as of 2020.
  • Vascular injuries from trauma significantly contribute to morbidity and mortality in pediatric patients.
  • Prompt management of vascular trauma is essential to prevent life-threatening hemorrhage and limb ischemia.

Purpose of the Study:

  • To review the scope of traumatic vascular injuries in pediatric patients.
  • To evaluate current evidence, outcomes, and challenges in pediatric vascular trauma care.
  • To propose optimized pediatric vascular trauma response solutions and team structures.

Main Methods:

  • Literature review of traumatic vascular injuries in pediatric populations.
  • Analysis of current evidence regarding outcomes and management strategies.
  • Discussion of different vascular response team structures and their efficacy.

Main Results:

  • Increasing frequency of pediatric vascular injuries requiring surgical intervention.
  • Variability in the structure and effectiveness of vascular response teams in children's hospitals.
  • Need for specialized expertise and integrated teams for optimal hemorrhage control and revascularization.

Conclusions:

  • An integrated, multidisciplinary approach is superior to ad hoc methods for pediatric vascular trauma.
  • Standardized outcome targets and improved team structures are necessary for pediatric vascular trauma response.
  • Further research is needed to optimize care delivery and improve survival rates for pediatric vascular injuries.

Keywords:
PediatricPenetrating injuryTraumaVascular

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