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[Current problems posed by arterial injuries in hospital practice]

P Imbert, J P Mathieu, Y Touati

    Acta Chirurgica Belgica
    |September 1, 1982
    PubMed
    Summary

    Timely reconstructive surgery for arterial lesions significantly improves outcomes, with over 83% success within 12 hours. Associated injuries, particularly loco-regional ones, markedly decrease treatment success rates.

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    Journal de pediatrie et de puericulture·2020

    Area of Science:

    • Vascular Surgery
    • Trauma Management
    • Orthopedic Surgery

    Context:

    • Arterial lesions resulting from trauma present complex challenges.
    • Evaluating prognostic factors is crucial for optimizing patient outcomes.
    • Previous amputation rates for popliteal and tibial lesions were high.

    Purpose:

    • To analyze the impact of lesion localization, time to surgery, and associated injuries on arterial reconstructive surgery outcomes.
    • To assess trends in amputation rates for lower extremity arterial lesions.
    • To determine the success rates of treating isolated versus complex arterial lesions.

    Summary:

    • A study of 100 arterial lesions identified time to surgery as a critical prognostic factor, with 83% good outcomes within 12 hours versus 67.5% after.

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  • Popliteal and tibial lesion amputation rates have decreased from 50% to 21.6% over two decades.
  • Treatment success is significantly higher for isolated arterial lesions (91%) compared to those with associated loco-regional injuries (50%).

    • Impact:

    • Establishes the critical time window for effective arterial reconstructive surgery.
    • Highlights the improved efficacy of modern surgical techniques for lower extremity trauma.
    • Underscores the importance of a multidisciplinary approach for managing complex trauma involving arterial and associated injuries.