Journal of Kermanshah University of Medical Sciences:
Vol.6, issue 3; e81019
published online:
December
19,
2002
article type:
Research Article
received:
August
12,
2002
accepted:
December
11,
2002
Vascular trauma: Characteristics of patients and results of treatment
authors:
I Ghodoosi
1
, *
,
MT Saalehiaan
1
,
F Vazindel
1
,
SA Mar'ashi
1
Iran
how to cite:
Ghodoosi
I, Saalehiaan
M, Vazindel
F, Mar'ashi
S. Vascular trauma: Characteristics of patients and results of treatment. J Kermanshah Univ Med Sci. 2002;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.