Document Type : Original Article
Assistant Professor of vascular surgery, Shohada-ye Ashayer and Shahid Chamran Hospitals, Lorestan University of Medical Sciences, Iran.
Medical student of Lorestan University of Medical Sciences, Iran.
Assistant Professor of Vascular Surgery, Department of Vascular and Endovascular Surgery, Ayatollah Taleghani Hospital, Shaheed Beheshti University of Medical Sciences, Tehran, Iran.
Background: Treatment of traumatic vascular lesions requires accurate and rapid diagnosis. Improper treatment and loss of time may lead to loss of limbs, or lives due to ischemia. This study aimed to evaluate various surgical methods used to treat vascular injuries.
Methods: This Cross-sectional study included all trauma patients referred to Shohada-e-Ashayer hospital, Khorramabad, Iran, and Shaheed Chamran hospital, Boroujerd, Iran, with vascular injury from 2015 to 2019. Demographic characteristics, duration of surgery, complications of the vascular injury, mechanism of vascular injury, type of vascular injury, location, clinical symptoms, comorbidities, and vital signs were assessed.
Results: Overall, 233 patients with a mean age of 29.15 ± 11.8 years (maximum 78 years and a minimum two years) and a male to female ratio of 20: 1 were included. Six patients (25.8%) were treated via venous graft and 11 cases (4.7%) by arterial ligation. Six cases (2.6%) with minor arterial injury were treated without surgical intervention. The artery was completely were removed in 135 patients (9.57%) and partialy in 83 cases (6.35%). Arterial thrombosis were seen in 70 cases (30%), intimal flap in 14 cases (6%), vascular spasm in 4 cases (7.1%), crush injury in 4 cases (7.1%), arterial fistula in 1 patient (4.0%), and deep vein thrombosis were seen in 3 cases (1/3 %).
Conclusion: Vascular injury following penetrating trauma occurs more commonly in young ages. However, the rate of vascular damage was higher in the arteries than in veins. The type of surgical treatment and side effects of treating vascular injuries vary depending on the type, site, severity, and other parameters (age, gender , etc.) associated with the trauma.