Overview of Vascular Trauma

Bietz, Gabriel; Bobadilla, Joseph L.

doi:10.1007/978-3-642-39100-2_1

Cited by 2 publications

(8 citation statements)

References 116 publications

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“…While Graham [29] initially reported the use of definitive vascular shunts to repair SMA in 1978, Reilly [25] was the first to describe the use of a temporary shunt to bridge a patient with SMA injury to definitive treatment in 1995. TVIS can buy time to stabilize the patient before undergoing a lengthy surgery for definitive repair, transfer to a more well‐equipped facility, perform diagnostic tests, and treat other concomitant injuries, while avoiding the development of massive bowel necrosis [28, 30, 31].…”

Section: Discussionmentioning

confidence: 99%

“…In terms of repairs, primary arteriography is currently the preferred method, with 40% of SMA injuries amenable to primary repair [3, 30, 40]. When the SMA is completely transected, primary end‐to‐end anastomosis may be attempted if the length of vessel affected by the original injury is minimal.…”

Section: Discussionmentioning

confidence: 99%

“…In primary repair studies by Lucas [3], two of the three SMA injuries treated with re‐anastomosis developed subsequent thrombosis, raising the concern that primary re‐anastomosis could be associated with a high failure rate [3, 21]. Autogenous grafts using the saphenous vein, femoral vein, or synthetic (PTFE) grafts are options for definitive repair [20, 30]. Autogenous material is preferable due to the risk of synthetic graft infection if there is simultaneous GI spillage due to coexisting intestinal injuries [20, 30].…”

Section: Discussionmentioning

confidence: 99%

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Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

et al. 2017

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Mesenteric vessels, including the superior mesenteric artery (SMA) and vein (SMV), provide and drain the rich blood supply of the midgut and hindgut. SMA and SMV injuries are rare and often lethal. Clinical management of these injuries is not well established, but treatment options include operative, non-operative, and endovascular strategies. A narrative review of the literature was conducted using MEDLINE Complete-EBSCO. Relevant studies, specifically those focusing on diagnosis and management of SMA and SMV injuries, were selected. Only original reports and collected series were selected to prevent duplication of cases. A search of the literature for mesenteric arterial injuries yielded 87 studies. Vessel-specific breakdown of the studies yielded 40 with SMA injuries and 41 with SMV injuries. These searches were winnowed to 26 individual studies, which were included in this collective review. Limitations of this study are similar to all narrative literature reviews: the dependence on previously published research and availability of references as outlined in our methodology. Although historically rare, mesenteric vessel injuries are seen with increasing incidence and continue to present a challenge to trauma surgeons due to their daunting mortality rates. Currently, universal treatment guidelines do not exist, but the various options for their management have been extensively reviewed in the literature.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

et al. 2017

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“…These patients will receive further resuscitation prior to definitive laparotomy and repair. 31,32 Temporary shunting of the SMA was first described by Reilly in 1995 and can be lifesaving in these situations. 31 Continued bowel perfusion is gained and allows time for resuscitation, treatment of other life-threatening injuries, or even transfer to a more suitable facility.…”

Section: Superior Mesenteric Artery Injurymentioning

confidence: 99%

“…31,32 Temporary shunting of the SMA was first described by Reilly in 1995 and can be lifesaving in these situations. 31 Continued bowel perfusion is gained and allows time for resuscitation, treatment of other life-threatening injuries, or even transfer to a more suitable facility. 33 Temporary abdominal closure also allows for serial examination of bowel and further resections if required.…”

Section: Superior Mesenteric Artery Injurymentioning

confidence: 99%

Superior Mesenteric Artery and Vein Injuries: Operative Strategies and Outcomes

Melmer

Clatterbuck

Parker

et al. 2021

Vasc Endovascular Surg

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Traumatic injuries to the mesenteric vessels are rare and often lethal. Visceral vessels, such as the superior mesenteric artery (SMA) and vein (SMV), supply blood to the small and large bowel by a rich system of collaterals. Because fewer than 100 such injuries have been described in the literature, they pose challenges in both diagnosis and management and can unfortunately result in high mortality rates. Prompt diagnosis, surgical intervention, and resuscitation can lead to improved outcomes. Here, we review the literature surrounding traumatic injuries of the SMA/SMV and discuss management strategies.

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Overview of Vascular Trauma

Cited by 2 publications

References 116 publications

Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

Trauma to the Superior Mesenteric Artery and Superior Mesenteric Vein: A Narrative Review of Rare but Lethal Injuries

Superior Mesenteric Artery and Vein Injuries: Operative Strategies and Outcomes

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