Franchin Marco, Righini Paolo, D'Oria Mario, Mazzaccaro Daniela, Nano Giovanni, Tozzi Matteo, Selmo Gabriele, Piffaretti Gabriele
Vascular Surgery, Department of Cardio-Thoracic and Vascular Surgery, ASST Settelaghi University Teaching Hospital, 21100 Varese, Italy.
Vascular Surgery-IRCCS Policlinico San Donato, 20097 San Donato Milanese, Italy.
J Clin Med. 2023 Jul 26;12(15):4906. doi: 10.3390/jcm12154906.
Pediatric major arterial vascular injuries may belong to the same principal categories as adults, but have been poorly documented, with an estimated overall incidence of <2% of all vascular traumas. Open surgery has been the mainstay of treatment, but no clear guidelines have been developed to recommend the best practice patterns in terms of strategy or repair as well as postoperative pharmacological regimen. Herein, we report three cases and a narrative review of the available literature regarding the main aspects when dealing with pediatric arterial injuries based on the predominant series available from the most recent published literature.
小儿主要动脉血管损伤可能与成人属于同一主要类别，但相关记录较少，估计在所有血管创伤中总体发生率<2%。开放手术一直是主要的治疗方法，但尚未制定明确的指南来推荐在策略、修复以及术后药物治疗方案方面的最佳实践模式。在此，我们报告三例病例，并根据最新发表文献中的主要系列，对处理小儿动脉损伤时的主要方面进行文献综述。
