A Study on Success Rate of Different Management Options for Traumatic Peripheral Vascular Injury

Abstract

Introduction: Traumatic vascular injury is caused by explosions and projectiles which may affect arteries and veins of the limbs, and is common in wartime and RTA, triggering bleeding and ischemia. The increasing use of high-energy weapons in modern warfare is associated with severe vascular injuries. The peripheral arteries and veins of the extremities are among the most commonly injured vessels in both civilian and military vascular trauma. Vascular injuries are classified as contusion, intimal disruption, puncture, lateral disruption, transections with hemorrhage or occlusion, arteriovenous fistula, spasm, and pseudoaneurysms. Any kind of bleeding whether inside or outside of the body is a sign of vascular trauma. Symptoms of vascular trauma include bleeding, swelling and/or pain, bruising, and a lump beneath the skin (haematoma). Patients with emergency peripheral vascular injury are usually diagnosed clinically. Non-invasive tests may confirm the diagnosis and are useful in-patient follow-up. Invasive tests can document the lesion and extent of disease if angiogram, angioplasty, local fibrinolytic therapy, or surgical bypass is contemplated. With the change of time background, the treatment of vascular injury is also changing. Nowadays advanced medical equipment provides benefits to patients with vascular injuries. Meanwhile, traditional treatments are still playing an important role. If vascular trauma has not been treated in time, it may cause disability or even death, especially for limb vascular injury. There are several management options for traumatic peripheral vascular injury including some interventional and non-interventional therapies. The study aimed to analyze the Success Rate of different management options for traumatic peripheral vascular injury. Methods: This retrospective study was carried out among fifty cases who attended in the vascular surgery department at the National Institute of Cardiovascular Disease (NICVD) and casualty block, .....