Vascular trauma: late sequelae and treatment

Area of Science:

• Vascular Surgery
• Trauma Management
• Reconstructive Surgery

Background:

• Late manifestations of vascular trauma can lead to significant morbidity.
• Chronic false aneurysms and arteriovenous fistulae present complex surgical challenges.

Purpose of the Study:

• To evaluate the outcomes of operative correction for late-presenting vascular trauma.
• To assess the efficacy of surgical intervention for chronic false aneurysms and arteriovenous fistulae.

Main Methods:

• Retrospective analysis of 58 patients with late vascular trauma manifestations.
• Surgical correction of false aneurysms and/or arteriovenous fistulae.
• Assessment of outcomes based on patient recovery and need for reoperation.

Main Results:

• 58 patients underwent surgery at an average of 37.2 months post-injury.
• Lesions included false aneurysms (23), arteriovenous fistulae (35), and combined (6).
• Excellent results were achieved in 54 patients, with only 3 requiring reoperation.

Conclusions:

• Operative correction is effective for late manifestations of vascular trauma.
• Surgical intervention provides favorable outcomes for chronic vascular lesions.
• High success rates indicate the viability of timely surgical repair even in chronic cases.