A decade of pelvic vascular injuries during the Global War on Terror

McDonald, Victoria S.; Quail, Jacob; Tingzon, Marlon; Ayers, Joseph D.; Casey, Kevin

doi:10.1016/j.jvs.2015.12.045

Cited by 8 publications

(7 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…26 During the Global War on Terror and previous conflicts in the Middle East, injury patterns due to improvised explosive devices (IEDs) increased the number of abdominal, pelvic, and extremity blast injuries. 27 McDonald et al’s 10-year review of pelvic vascular injuries, IVC injuries only accounted for .5%, a rare encounter with contemporary conflicts. 27…”

Section: Incidencementioning

confidence: 99%

See 1 more Smart Citation

Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes

Castater

Carlin

Parker

et al. 2020

The American Surgeon™

View full text Add to dashboard Cite

Visceral vascular injuries are relatively uncommon even in busy urban trauma centers. The inferior vena cava (IVC) is the most frequently injured visceral vein and can be a complex operative challenge. Despite advances in early volume resuscitation, improved transport times, prompt operative intervention, and hemorrhage control, mortality rates have remained largely unchanged. This article conducts an in-depth review of the literature surrounding IVC injuries and a detailed discussion of operative strategies and management as survivability is ultimately dependent on the grade of injury, location, and the presence of hemorrhagic shock.

show abstract

Section: Incidencementioning

confidence: 99%

“…27 McDonald et al’s 10-year review of pelvic vascular injuries, IVC injuries only accounted for .5%, a rare encounter with contemporary conflicts. 27…”

Section: Incidencementioning

confidence: 99%

Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes

Castater

Carlin

Parker

et al. 2020

The American Surgeon™

View full text Add to dashboard Cite

show abstract

“…Epidemiologic studies of vascular injuries of the abdomen and pelvis are largely based on the clinical experience accumulated with military campaigns and civilian trauma. [12][13][14][15] However, the incidence of such injuries has been increasing within recent years due to the growing number of endovascular procedures. 16,17 Currently, the prevalence of iatrogenic vascular trauma ranges from 5% to 75% of all vascular trauma, varying according to practice and referral bias.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Vascular Injuries of the Abdomen and Pelvis: The Experience at a Hellenic University Hospital

Filis

Sigala

Triantafyllou

et al. 2019

Vasc Endovascular Surg

View full text Add to dashboard Cite

Background: The aim of this study is to present the experience of a Vascular Division at a Hellenic University hospital concerning the management of iatrogenic vascular injuries (IVIs) of the abdomen or pelvis. Patients and Methods: This is a retrospective study evaluating all IVIs reported during a 10-year period in our institution. Only injuries warranting a vascular surgeon consultation were included in the study. Non-iatrogenic injuries were not included. Mortality and major complications within 30 days were evaluated. Results: Overall, 70 cases were recorded, with 41% being venous and 59% being arterial injuries. Iliac arteries (51%) were the most common location and rupture/lacerations (73%) were the most common type of injury. General surgery (61.5%) and cardiology (30%) procedures were the most frequently involved procedures. A 30-day mortality was 5.7%, with 30% of cases treated conservatively. Synthetic bypass grafting (odds ratio [OR] = 65.0; 95% confidence interval [CI], 4.022-1050.358; P = .003) and male gender (OR = 83.77; 95% CI, 4.040-1736.738; P = .004) were associated with death. Conclusions: Iatrogenic vascular injuries of the abdomen or pelvis are usually associated with general surgery and endovascular procedures. When vascular consultation is requested early, mortality could remain low. However, a selected number of stable patients with retroperitoneal or pelvic hematomas could be treated conservatively, yielding satisfying results.

show abstract

“…Together, 26% of the vascular injuries were of the external iliac artery and common, superficial, and deep femoral arteries (Table II). McDonald et al 11 found that, of 198 pelvic vascular injuries in 143 patients, 42% were arterial and 57% were venous injuries in the pelvic junctional region (Table II).…”

Section: Epidemiologymentioning

confidence: 99%

Orthopaedic Junctional Injuries

Covey

Schwartz

2019

The Journal of Bone and Joint Surgery

View full text Add to dashboard Cite

ä Junctional injuries are those spanning the root of an extremity and the adjacent torso to include the shoulder region (shoulder and thoracic outlet) or pelvic region (pelvis, lower part of the abdomen, and proximal part of the thigh).ä These anatomic regions are traversed by major neurovascular structures where proximal and distal hemorrhage control is necessary in the torso and involved extremity.ä Nineteen percent of battlefield deaths from potentially survivable hemorrhage in Iraq and Afghanistan occurred in junctional anatomic regions.ä Patients with junctional injuries who present in extremis benefit from a resuscitation protocol that prioritizes control of life-threatening bleeding.ä A coordinated effort with general and orthopaedic surgeons working together can maximize chances for survival.ä Intermingling of new developments in the mitigation and treatment of junctional injuries will hopefully decrease their associated morbidity and mortality.

show abstract

A decade of pelvic vascular injuries during the Global War on Terror

Cited by 8 publications

References 29 publications

Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes

Intra-abdominal Inferior Vena Cava Injuries: Operative Strategies and Outcomes

Iatrogenic Vascular Injuries of the Abdomen and Pelvis: The Experience at a Hellenic University Hospital

Orthopaedic Junctional Injuries

Contact Info

Product

Resources

About