Related Experiment Video

Updated: Jan 22, 2026

Dual-mode Imaging of Cutaneous Tissue Oxygenation and Vascular Function
11:35

Dual-mode Imaging of Cutaneous Tissue Oxygenation and Vascular Function

Published on: December 8, 2010

16.9K

Characterizing Contemporary Management of Major Pediatric Vascular Trauma: A Multiyear, Dual-Center Retrospective

Kevin J Lang1, Regan F Williams2, Hamda Almaazmi3

  • 1From the Division of Trauma/Surgical Critical Care, Department of Surgery, University of Tennessee Health Science Center, Memphis, TN (Lang, Jung, Koffman, Byerly, Filiberto, Kerwin).

Journal of the American College of Surgeons
|January 20, 2026
PubMed

Insights

Penetrating injuries are the leading cause of pediatric vascular trauma, with open reconstruction remaining standard. Limb salvage rates are high, but predictors for limb loss include shock on arrival.

Area of Science:

  • Pediatric vascular surgery
  • Trauma surgery
  • Vascular reconstruction

Background:

  • Pediatric vascular trauma leads to significant morbidity, limb loss, and mortality.
  • Contemporary injury and management patterns require updated understanding.
  • Identifying predictors of limb loss and death is crucial for improving outcomes.

Purpose of the Study:

  • To describe current injury and management patterns in pediatric vascular trauma.
  • To identify predictors of limb loss and death in this population.
  • To analyze outcomes of vascular reconstruction in children.

Main Methods:

  • Retrospective review of a prospectively maintained database and trauma registry data (2019-2025).
  • Inclusion of patients <18 years treated for non-iatrogenic vascular trauma.
  • Analysis of demographics, injury characteristics, interventions, outcomes, and surveillance adherence.

Main Results:

  • 173 pediatric patients underwent vascular reconstruction; 62% sustained penetrating injuries (predominantly GSWs).
  • Open vascular reconstruction was common; endovascular treatment was utilized in 17% of cases.
  • Major amputation rate was 1.2%; vascular-related mortality was 6.3%, primarily in adolescents with torso/junctional injuries in shock.

Conclusions:

  • Penetrating injuries, especially GSWs, are the primary cause of pediatric vascular trauma.
  • Open vascular reconstruction is the mainstay, but endovascular techniques are increasingly used.
  • High limb salvage and surveillance adherence observed; predictors for adverse outcomes include mangled extremities, delayed care, and shock on arrival.
Abstract

More Related Videos

Dual Raster-Scanning Photoacoustic Small-Animal Imager for Vascular Visualization07:14

Dual Raster-Scanning Photoacoustic Small-Animal Imager for Vascular Visualization

Published on: July 15, 2020

4.5K
Guidelines for Elective Pediatric Fiberoptic Intubation11:19

Guidelines for Elective Pediatric Fiberoptic Intubation

Published on: January 17, 2011

18.4K

Related Concept Videos

Contemporary Psychology01:29

Contemporary Psychology

Psychology explores human behavior and mental processes through various lenses, each offering unique insights. This overview examines key subfields, including biopsychology, evolutionary, developmental, personality, and social psychology, highlighting their approaches and contributions to understanding complex human behaviors.
Biopsychology
Biopsychology, also known as biological psychology or behavioral neuroscience, focuses on the biological underpinnings of behavior and mental processes. It...
2.2K
Seedless Vascular Plants03:24

Seedless Vascular Plants

Seedless Vascular Plants Were the First Tall Plants on Earth
66.7K
Lattice Centering and Coordination Number02:33

Lattice Centering and Coordination Number

The structure of a crystalline solid, whether a metal or not, is best described by considering its simplest repeating unit, which is referred to as its unit cell. The unit cell consists of lattice points that represent the locations of atoms or ions. The entire structure then consists of this unit cell repeating in three dimensions. The three different types of unit cells present in the cubic lattice are illustrated in Figure 1.
Types of Unit Cells
Imagine taking a large number of identical...
11.4K
Center of Gravity00:58

Center of Gravity

The center of gravity (COG) of an object is the point where the object's total weight is considered to be concentrated. Knowing the location of the center of gravity is useful when predicting the behavior of a moving object or designing static structures. In a uniform gravitational field, the center of gravity is similar to the center of mass (COM); yet, these two points can be positioned differently. For example, the Moon's center of mass lies very close to its geometric center, but...
6.6K
Center of Gravity01:15

Center of Gravity

The center of gravity is the point at which an object's weight appears to be concentrated and can be used to balance the object perfectly. This point is essential in mechanics as it provides information regarding a body's stability and moments of inertia. The center of gravity does not always have to fall within the shape or boundaries of the body; it may also lie outside the body in certain cases.
To determine its location, the principle of moments can be utilized by dividing the object into...
2.1K
Major Organs of the Digestive System01:19

Major Organs of the Digestive System

The digestive system is responsible for the ingestion of food, secretion of enzymes, mixing and digesting food, absorption of the nutrients and defecation. The human digestive system consists of two major parts: the gastrointestinal tract and the accessory digestive organs.
Gastrointestinal tract:
8.9K