Kalmykov E L, Gaibov A D, Nematzoda O, Sharipov M A, Baratov A K
Helios University Hospital, Wuppertal, Germany.
Avicenna Tajik State Medical University, Dushanbe, Tajikistan.
Khirurgiia (Mosk). 2021(4):85-91. doi: 10.17116/hirurgia202104185.
Iatrogenic events made up 1-10% of in-hospital mortality. Currently, iatrogenic vascular injuries are described for almost all surgical areas. Incidence of iatrogenic vascular injuries is gradually increased that is primarily associated with high number of percutaneous endovascular interventions. Surgical treatment of patients with iatrogenic vessel injuries is extremely difficult. This is due to sudden development of this complication, severe clinical state of the patient associated with underlying disease, acute massive blood loss, as well as insufficient experience of surgeon in urgent vascular surgery. Simple lateral or circular suturing is not always possible to restore the vessel integrity. Vascular replacement including non-standard vascular reconstructions are often required. Prevention of iatrogenic vascular injuries is also insufficiently described in the literature. Most manuscripts devoted to iatrogenic vascular injuries are usually represented by case reports or small sample. Thus, it is impossible to identify the main measures for prevention of iatrogenic injury.
医源性事件占住院死亡率的1%-10%。目前，几乎所有手术领域都有医源性血管损伤的描述。医源性血管损伤的发生率逐渐上升，这主要与大量经皮血管腔内介入治疗有关。医源性血管损伤患者的手术治疗极其困难。这是由于该并发症的突然发生、患者与基础疾病相关的严重临床状态、急性大量失血以及外科医生在急诊血管外科方面经验不足。单纯的横向或环形缝合并不总是能够恢复血管的完整性。通常需要进行血管置换，包括非标准的血管重建。文献中对医源性血管损伤的预防描述也不够充分。大多数关于医源性血管损伤的手稿通常以病例报告或小样本呈现。因此，无法确定预防医源性损伤的主要措施。
