Cheraghali Roozbeh, Salimi Javad, Omrani Zahra
Vascular and Endovascular Surgery, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Vascular and Endovascular Surgery, Liver Transplantation Program, Tehran University of Medical Sciences, Tehran, Iran.
J Surg Case Rep. 2021 Nov 11;2021(11):rjab486. doi: 10.1093/jscr/rjab486. eCollection 2021 Nov.
Endovascular treatment of vascular injuries has resulted in reduced operating time, blood loss, hospital mortality and sepsis. The purpose of this study was to evaluate the success and complication rate of the endovascular management of penetrating peripheral vascular injuries during 5 years. In this observational study, the clinical records and imaging features of 22 penetrating trauma injuries of 276 penetrating vascular trauma patients (8%), which were repaired using endovascular stent-grafts or coil embolization, between April 2013 and August 2018, included in the study. The median age of patients was 43 years (Range, 20-78 years). There were 17 stab wounds (77.3%), 2 shotgun war remnants (9.1%) and 2 iatrogenic post-surgical lesions. Eleven stent-grafts (50%) and nine coil embolizations (40.9%) were deployed. Endovascular interventions in the management of peripheral vascular injuries can be efficient in definitive repair, damage control and hemorrhage control in severely ill trauma patients.
血管损伤的血管内治疗已使手术时间、失血量、医院死亡率和败血症发生率降低。本研究的目的是评估5年间穿透性周围血管损伤的血管内治疗的成功率和并发症发生率。在这项观察性研究中，纳入了2013年4月至2018年8月期间276例穿透性血管创伤患者（8%）中22例穿透性创伤损伤的临床记录和影像特征，这些损伤采用血管内支架移植物或弹簧圈栓塞进行修复。患者的中位年龄为43岁（范围20 - 78岁）。有17处刺伤（77.3%）、2处散弹枪战争遗留伤（9.1%）和2处医源性术后损伤。使用了11个支架移植物（50%）和9次弹簧圈栓塞（40.9%）。血管内介入治疗周围血管损伤在危重伤员的确定性修复、损伤控制和出血控制方面可能是有效的。
