Management of a Penetrating Retrohepatic Vena Cava Injury

Han, Daniel; Mishra, Aditi; Batson, Shuntaye D.; Koller, Felicitas L.; Iwuchukwu, Chinenye

doi:10.1177/0003134820940251

Cited by 4 publications

(5 citation statements)

References 4 publications

(7 reference statements)

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“…É o caso, por exemplo, das lesões de artéria braquial associadas a fratura supracondiliana de úmero em crianças, quando a perfusão da mão está compensadasituação atualmente denominada pink pulseless hand 72,73 . Lesões tamponadas de cava retro-hepática também podem ser passíveis de condução expectante 10,55 , e critérios para não intervenção em lesões dos membros foram estabelecidos 2,64,67,70 .…”

Section: Discussionunclassified

“…Na Europa, no Japão e na Austrália, predominam os mecanismos contusos, como quedas de altura e acidentes de trânsito; já nos Estados Unidos, na África e em países da América do Sul, predominam os ferimentos penetrantes 1 . Dados brasileiros confirmam que os traumatismos por arma branca e arma de fogo são os mais associados a traumatismos vasculares no país, acometendo principalmente vasos das extremidades de homens jovens [10][11][12] .…”

Section: Introductionunclassified

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Diretrizes brasileiras de diagnóstico e tratamento de lesões vasculares traumáticas

Góes Junior,

Parreira,

Kleinsorge

et al. 2023

J. vasc. bras.

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Resumo Trauma é uma causa importante de morbimortalidade, que acomete principalmente jovens. A hemorragia incoercível é o principal mecanismo de óbito precoce nessas vítimas, e as lesões vasculares não compressíveis representam grandes desafios para os cirurgiões. O traumatismo vascular impacta diretamente a viabilidade de membros traumatizados, aumentando o risco de amputação. Nas últimas décadas, muitas condutas de diagnóstico e tratamento de lesões vasculares traumáticas foram modificadas. A angiotomografia suplantou a angiografia como padrão ouro para diagnóstico, as técnicas endovasculares foram incorporadas ao arsenal terapêutico e o conceito de “controle de danos” foi estabelecido. No entanto, há lacunas na literatura nacional sobre a normatização de condutas em trauma vascular, principalmente considerando as limitações do Brasil. Por isso, a Sociedade Brasileira de Angiologia e de Cirurgia Vascular e a Sociedade Brasileira de Atendimento Integrado ao Traumatizado revisaram a literatura disponível sobre trauma vascular e organizaram diretrizes sobre o diagnóstico e tratamento dessas lesões.

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Section: Discussionunclassified

Section: Introductionunclassified

Diretrizes brasileiras de diagnóstico e tratamento de lesões vasculares traumáticas

Góes Junior,

Parreira,

Kleinsorge

et al. 2023

J. vasc. bras.

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“…This is the case, for example, in brachial artery injuries associated with a supracondylar humeral fracture in children, resulting in adequate distal perfusion but no palpable pulse -a condition known as "pink pulseless hand" 72,73 . Compression injuries of the retrohepatic vena cava may also be subject to watchful waiting, 10,55 and criteria for non-intervention in limb injuries have been established. 2,64,67,70 Endovascular treatment has become established in certain contexts, such as blunt trauma to the thoracic aorta, 15,43,77 and is becoming more frequent in penetrating traumas requiring complex accesses, such as in axillary-subclavian injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Note 3: The development of institutional protocols for non-operative treatment in abdominal injuries is strongly recommended. 1,5,10,22,[52][53][54][55] What is the role of endovascular treatment in abdominal vascular trauma?…”

Section: Recommendations On Abdominal Vascular Traumamentioning

confidence: 99%

“…1 Brazilian data confirm that gunshot and stab wounds are the most common type of vascular injury in the country, affecting mainly the extremities in young men. [10][11][12] In 2022, the board of directors of the Brazilian Society of Angiology and Vascular Surgery (SBACV) determined that the Society's guidelines on various topics should be updated; however, no previous guidelines had considered the Brazilian context of vascular trauma presentation and treatment resources. Given that many vascular injuries are treated by surgeons who are not specialists in vascular surgery, the Brazilian Trauma Society (SBAIT) was invited to join the guideline working group.…”

Section: Introductionmentioning

confidence: 99%

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Brazilian guidelines on diagnosis and management of traumatic vascular injuries

Góes Junior,

Parreira,

Kleinsorge

et al. 2023

J. vasc. bras.

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Trauma is a leading cause of death, permanent disability, and health care cost worldwide. The young and economically active are the most affected population. Exsanguination due to noncompressible torso hemorrhage is one of the most frequent causes of early death, posing a significant challenge to trauma and vascular surgeons. The possibility of limb loss due to vascular injuries must also be considered. In recent decades, the approach to vascular injuries has been significantly modified. Angiotomography has become the standard method for diagnosis, endovascular techniques are currently incorporated in treatment, and damage control, such as temporary shunts, is now the preferred approach for the patients sustaining physiological derangement. Despite the importance of this topic, few papers in the Brazilian literature have offered guidelines on vascular trauma. The Brazilian Society of Angiology and Vascular Surgery has developed Projetos Diretrizes (Guideline Projects), which includes this publication on vascular trauma. Since treating trauma patients is a multidisciplinary effort, the Brazilian Trauma Society (SBAIT) was invited to participate in this project. Members of both societies reviewed the literature on vascular trauma management and together wrote these guidelines on vascular injuries of neck, thorax, abdomen, and extremities.

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