Vascular Trauma Registry Analysis in Sulaimani Province of Southern Kurdistan

Abstract

Background: Vascular injury presents a great challenge to the trauma and vascular surgeons because it needs urgent diagnosis and intervention. Aims: Prospective cohort study is to determine management and outcome of peripheral vascular injuries in a tertiary centre with very poor facilities. Methods: Analysis of peripheral vascular injuries during August 2013 to August 2014. Results: Total of 47 patients (3.4%) from 1377 total trauma admissions had vascular injuries. Penetrating trauma was present in 93.6% of cases. Brachial artery injury was the highest (31.9%), followed by superficial femoral and popliteal arteries (each with 17% incidence). Vein injury occurred in 61.7% of cases. End-to-end anastomosis performed in 76.6% of cases; arterial ligation was done in 14.9% of cases; venous graft was harvested in 6.4% of cases; and arterial wall was repaired in 2.1% of cases. Conclusions: Early intervention is the most important determinant factor of outcome.

Age differences of arterial trauma – Selection of the most appropriate age classification

“…[1][2][3][4] Other investigators studied only children or adults. [5][6][7][8][9][11][12][13][14][15][16][17][18][19] In their papers on children, Allen et al p�blished data about 81 patients and divided them into two groups �under 13 �ears and 14-17 �ears), Ammar et al -36 patients and three gro�ps (�nder � �ears, �-7 �ears and 7-1� �ears), Wahlgren and Kragsterman -��� patients and fo�r gro�ps (�nder � �ears, �-6 �ears, 7-1� �ears and 1�-15 �ears), Jaip�ria et al -83 patients and three s�bgro�ps (�nder 6 �ears, 6-13 �ears and 14-18 �ears), Sil�a et al -37 patients and three gro�ps (�nder 6 �ears, 6-14 �ears, and 14-17 �ears), �orneille et al -95 patients and two groups �under 10 years and 10-17 years�. 5-7,11,1�,�0 Allen et al compared topography and treatment types were between the gro�ps, Jaip�ria et al compared topograph� and tra�ma mechanisms, �orneille et al compared angiograph� �tilization and treatment types.…”

“…�ig� nificant methodological inconsistencies exist bet�een pa� pers regarding ho� to approach different ages, a�thors ma� grade patients b� decades of life, e�al�ate onl� children or ad�lts, delineate fa�ored age s�bgro�ps, etc. [1][2][3][4][5][6][7][8][9] We tho�ght to attempt to select the most appropriate age classification from the perspective of our experience of AT management.…”

Physical diagnostics of arterial trauma in patients of various ages

“…У статті Sciarretta et al (2014) про травми дітей показано, що у 17 (94,4 %) із 18 дітей із ТА симптоми були абсолютними [15]. Досліджуючи ТА дорослих, Baram et al (2015) доповіли про симптоми ішемії у 83 %, патологічні шуми у 2,1 % пацієнтів [16]. Деякі автори визначили, що у клінічній практиці лікарі діагностують частіше не один, а поєднання кількох симптомів.…”