Management of Major Vascular Injuries

Evans, Chris; Chaplin, Tim; Zelt, David

doi:10.1016/j.emc.2017.08.013

Cited by 31 publications

(7 citation statements)

References 53 publications

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“…As with any trauma, penetrating neck injuries are evaluated with appropriate primary survey, with airway management as the first step. Key actions then include hemorrhage control, further analysis of injury, and possible operative/procedural intervention [9] . Decision of whether or not to operate on a patient with a penetrating neck injury can, at times, be controversial.…”

Section: Discussionmentioning

confidence: 99%

Case report: Tree branch penetrating injury into zone III of the neck

Barsoom¹,

Rendón²,

Bar‐Or³

et al. 2022

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Case report: Tree branch penetrating injury into zone III of the neck

Barsoom¹,

Rendón²,

Bar‐Or³

et al. 2022

International Journal of Surgery Case Reports

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“…On the other hand, catheter-based angiography and computed tomography angiography are the imaging tests of choice to accurately assess the laceration severity. Catheter-based angiography is recommended for hemodynamically stable patients in whom arterial injury suspicion is high, allowing to treat intimal tears, pseudoaneurysm, partial lacerations, or temporary balloon occlusion through an endovascular approach at the same time [22][23][24][25] .…”

Section: Discussionmentioning

confidence: 99%

Fatal Outcome After Reduction of a Superior Shoulder Dislocation, A Case Report and Literature Review

Zúñiga

Fulvi

2021

JBJS Case Connector

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Case: An 81-year-old woman presented a superior glenohumeral dislocation after a low-energy fall, with a mechanism of axial load while the shoulder was in adduction and extension. After successful closed reduction, the patient presented sudden symptoms of severe vascular injury with a protruding axillary hematoma and hypovolemic shock. Conclusion: Superior shoulder dislocations and vascular injuries are extremely rare among shoulder dislocations, especially after low-energy trauma. Vascular injuries may result in limb compromise and death. We highlight the importance of high clinical suspicion, particularly in superior dislocations, and the importance of prompt management of vascular complications to avoid catastrophic outcomes.

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“…Vascular injury manifestations include hemorrhage and ischemia. Vessel injuries can manifest as vasospasm, contusion, intimal flaps, intimal disruption or hematoma, external compression, laceration, transection, focal wall defect with pseudoaneurysm, arteriovenous fistula [13,14]. Vessel disruption is the most common injury and can be complete or incomplete.…”

Section: Types Of Peripheral Vascular Injuriesmentioning

confidence: 99%

CTA Imaging of Peripheral Arterial Injuries

Tamburrini,

Lassandro,

Tiralongo

et al. 2024

Preprint

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Traumatic vascular injuries consist in direct or indirect damage to arteries and/or veins and accounts for 3% of all traumatic injuries. Typical consequences are hemorrhage and ischemia. Extremities vascular injuries can occur isolated or in association in major trauma with other organ injuries. They account for 1-2% of patients admitted to Emergency Department, for approximately 50% of all arterial injuries. Lower extremities are more frequently injured than the upper ones in adult population. The outcome of vascular injuries is strictly correlated to the environment and the time background. Treatment can be challenging notably in polytrauma because of the dilemma of which injury should be prioritized and treatment delay can cause disability or even death especially for limb vascular injury. Our purposes are to discuss the role of Computed Tomography Angiography (CTA) in the diagnosis of vascular trauma and its optimized protocol to achieve the definitive diagnosis, and to assess the radiological signs of vascular injuries and the possible pitfalls.

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Management of Major Vascular Injuries

Cited by 31 publications

References 53 publications

Case report: Tree branch penetrating injury into zone III of the neck

Case report: Tree branch penetrating injury into zone III of the neck

Fatal Outcome After Reduction of a Superior Shoulder Dislocation, A Case Report and Literature Review

CTA Imaging of Peripheral Arterial Injuries

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