Vascular trauma:  Characteristics of patients and results of treatment

I Ghodoosi; MT Saalehiaan; F Vazindel; SA Mar'ashi

Journal of Kermanshah University of Medical Sciences

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Vascular trauma: Characteristics of patients and results of treatment

Author(s):

I Ghodoosi^1,*,

MT Saalehiaan¹,

F Vazindel ¹,

SA Mar'ashi¹

1Iran

Journal of Kermanshah University of Medical Sciences:Vol. 6, issue 3; e81019

Published online:Dec 19, 2002

Article type:Research Article

Received:Aug 12, 2002

Accepted:Dec 11, 2002

How to Cite:I GhodoosiMT SaalehiaanF Vazindel SA Mar'ashiVascular trauma: Characteristics of patients and results of treatment.J Kermanshah Univ Med Sci.6(3):e81019.

Abstract

Introduction and Objectives: This is a descriptive report of vascular trauma cases in Tehran's Taleghani Hospital .

Materials and Methods: The files of vascular trauma cases during the years 1997-2000 were evaluated.

Results: 157 patients presented with vascular trauma. Mean age was 28.5 years, with a male to female ratio of 7 to 1. 63% of injuries were penetrating and 56% were in lower extremities. 18% sustained iatrogenic trauma and 11% had trauma during iv drug abuse. 15 cases had bone fractures.715 had pulse deficits, 33% sensory deficits, 30% motor deficits, and 14% nerve transection. Interpositional graft was used in 77 cases , and the rest were treated with patch angioplasty, primary closure and ligation. 8 cases died postoperatively and 13 cases underwent amputations; Nevertheless, and despite the fact that we had not evaluated the patients with angiography or Doppler sonography postoperatively , we regard the results "successful" in 86%.

Discussion and Conclusions: High rates of Iatrogenic trauma and trauma following iv drug abuse needs "special evaluations". A program of continuous medical education about vascular trauma is suggested.

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