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An In Vivo Duo-color Method for Imaging Vascular Dynamics Following Contusive Spinal Cord Injury
09:25

An In Vivo Duo-color Method for Imaging Vascular Dynamics Following Contusive Spinal Cord Injury

Published on: December 31, 2017

[Vascular traumatic injuries of the limbs in children (author's transl)]

J P Padovani, P Rigault, P Mouterde

    Chirurgie Pediatrique
    |January 1, 1978
    PubMed

    Insights

    Pediatric limb vascular trauma, often iatrogenic from arterial procedures, requires prompt clinical diagnosis and surgical repair. Delayed intervention significantly worsens outcomes and increases severe sequelae in children.

    Area of Science:

    • Pediatric vascular surgery
    • Trauma management
    • Iatrogenic injury

    Context:

    • Review of 66 case reports on pediatric limb trauma involving major vessels.
    • Highlights frequent iatrogenic injuries from arterial punctures and arteriography.
    • Emphasizes the severity of vascular lesions in children.

    Purpose:

    • To confirm the seriousness of major vessel trauma in pediatric limbs.
    • To underscore the prevalence and risks of iatrogenic vascular injuries.
    • To analyze factors influencing outcomes in pediatric vascular trauma.

    Summary:

    • Iatrogenic injuries are common, particularly after arterial procedures in children.
    • Prompt clinical diagnosis and surgical restoration of vascular continuity (deobstruction, suture, grafting) are crucial.
    • Delayed treatment leads to poor outcomes and severe sequelae, while effects of chronic ischemia on limb growth remain unproven.

    Impact:

    • Stresses the importance of timely intervention for successful vascular repair in pediatric trauma.
    • Highlights the severe consequences of thrombosis following arteriography, especially in infants.
    • Informs clinical practice regarding the diagnosis and management of pediatric vascular injuries.

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