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[Severe limb ischemia due to iatrogenic trauma]
D Melliere1, Y Castier, J P Becquemin
1Service de Chirurgie Vasculaire, CHU Henri-Mondor, Créteil.
Journal Des Maladies Vasculaires
|January 1, 1996
Summary
Iatrogenic arterial trauma, often caused by arterial catheterization, requires prompt treatment. Proper technique can prevent most arterial injuries, improving patient outcomes.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
- Medical Device Technology
Context:
- Iatrogenic arterial trauma is a complication of invasive vascular procedures.
- A 25-year retrospective study analyzed 45 cases of iatrogenic arterial trauma.
- Arterial catheterization was the leading cause, particularly in lower limbs.
Purpose:
- To assess the frequency, severity, and technical challenges of iatrogenic arterial trauma.
- To evaluate treatment outcomes and identify factors influencing prognosis.
- To emphasize the importance of proper technique in preventing arterial injuries.
Summary:
- Arterial catheterization for arteriography, coronarography, and endovascular therapy led to iatrogenic arterial trauma in 32 cases.
- Thrombectomy (24 cases), bypass (4 cases), and endarterectomy (4 cases) were common interventions.
- Most patients recovered, with two fatal outcomes, highlighting the severity of these injuries.
Impact:
- Proper procedural technique is crucial for minimizing iatrogenic arterial trauma.
- Early diagnosis and intervention significantly improve patient prognosis.
- This study underscores the need for meticulous care during vascular interventions to prevent complications.