An epidemiological view of vascular trauma in Western Australia: A 5‐year study

Gupta, Robin; Rao, Sudhakar; Sieunarine, Kishore

doi:10.1046/j.1440-1622.2001.02165.x

Cited by 42 publications

(69 citation statements)

References 24 publications

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“…[9][10][11][12][13][14] The proportion of non-transport-related vascular injuries in our study was similar to that reported in the United States and Latin America, [15][16][17][18] but higher than that reported in Europe, Australia and other developing countries. 12,14 Certain factors that may contribute to a sustained high risk of transport-related injuries in Canada are the increasing number of vehicles on the road, variable road infrastructure in rural areas, reduced use of safety precautions and alcohol consumption. 11,19,20 We did not observe a significant decline in the incidence of vascular injuries among older and rural populations.…”

Section: Discussionsupporting

confidence: 79%

Temporal trends in vascular trauma in Ontario, 1991-2009: a population-based study

et al. 2016

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Section: Discussionsupporting

confidence: 79%

Temporal trends in vascular trauma in Ontario, 1991-2009: a population-based study

et al. 2016

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“…This goes in hand with some of the other studies which show that popliteal artery is the most common injured structure in lower limb vascular injuries 16. On the contrary to our findings in Indian patients, according to Gupta et al ., femoral artery is the most common injured structure in lower extremity vascular trauma in Australian population 17. Nevertheless, the limb salvageability percentage in popliteal artery injury group was a mere 25% whereas it was as much as 64% in the femoral artery injury group, showing that the prognosis was much better when the patient had femoral artery injury.…”

Section: Discussionmentioning

confidence: 97%

Epidemiology of lower limb musculoskeletal trauma with associated vascular injuries in a tertiary care institute in India

Gopinathan

Santhanam

Saibaba

et al. 2017

IJOO

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Background:Vascular trauma associated with bony injuries is an orthopaedic emergency. Lack of timely intervention can lead to loss of limb or even life. Inspite of the rising incidence of high speed road traffic accidents in India, there is paucity of literature regarding the demographic pattern, clinical morbidity, management strategies and outcome of arterial injuries associated with lower limb trauma. The aim of this study is to describe the epidemiology and outcome of lower extremity musculoskeletal trauma with associated vascular injuries in a tertiary care institute in India.Materials and Methods:All individuals who presented to our tertiary care trauma center from July 2013 to December 2014 with lower extremity vascular injury associated with lower limb fractures were identified from a retrospective trauma database for this descriptive study. For the 17 months, there were 82 lower extremity vascular trauma cases admitted in our trauma center, of which 50 cases were included in the study. 32 patients with crush injuries, traumatic amputations, and those with head injury and blunt trauma to chest or abdomen were excluded from the study.Results:Out of the 50 cases of lower extremity vascular injury with associated lower limb fractures, 19 limbs were salvaged, 28 amputated, and three patients expired. Young males in the age group of 20–39 years were frequently injured. Motor vehicle accident (MVA) (82%) was found to be the most common cause followed by pedestrian injury. Popliteal artery (62%) was the most common vessel injured, followed by femoral artery (28%). The salvageability percentage was much higher (64%) in the femoral artery injury group when compared to popliteal artery injury group (25%). There were 32 open fractures, with amputation rates (60%) being higher and all three cases of death falling in this group. In addition, the limb salvageability percentage was 43.2% when the patient presented within 12 h of injury and this decreased to a mere 16.7% when the patient had presented more than 24 h after injury.Conclusion:MVAs are the leading cause of vascular injuries in India. Road safety measures and prevention programs are the need of the hour to prevent these kinds of injuries in the future.

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“…The most common artery-vein combination injury was to the femoral vessels. 10 In 2002, Lakhwani et al looked at 84 patients in Malaysia with RTAs, which accounted for 58% of vascular trauma cases. Primary arterial repair was the most frequently employed surgical procedure (64%), followed by autogenous reverse long saphenous vein repair (17%) and PTFE, in 4%.…”

Section: Discussionmentioning

confidence: 99%

A decade of major vascular trauma: Lessons learned from gang and civilian warfare

Ramdass

Harnarayan

2017

annals

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INTRODUCTION Trinidad and Tobago is a trans-shipment point for the illegal trade of drugs, arms and ammunition and, as such, has a high incidence of gang-related warfare and drug-related crimes. This has led to a high incidence of gunshot and stab wounds, with associated major vascular injuries. We describe our management strategies learned from a decade of vascular trauma experience. METHODS A retrospective analysis of age, gender, type of trauma, vessel injured, procedure and outcome for all cases of vascular trauma between 2006 and 2015 at two surgical units in Trinidad and Tobago. RESULTS There were 198 vascular trauma cases (232 procedures), involving 159 (80%) males at a mean age of 33 years. Gunshots accounted for 103 (52%) cases, followed by stabs/chops (n=50; 25%) and lacerations (n=15; 8%). The most commonly injured vessels were the radial/ulnar arteries (n=39; 20%) and the superficial femoral artery (n=37; 19%). There were seven pseudoaneurysms and three traumatic arteriovenous fistulae. Repair techniques included primary (n=82; 35%), reversed vein (n=63; 27%), polytetrafluoroethylene (n=58; 25%), oversew (n=24; 10%) and endovascular (n=5; 2%) techniques. There were eight (4%) secondary amputations and eight (4%) deaths. CONCLUSIONS Major vascular trauma causes significant morbidity and mortality in Trinidad and Tobago, with the majority of cases due to gunshot injuries secondary to gang-related warfare and civilian violence. We compare our experience with that in the literature on the epidemiology and management of vascular trauma.

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An epidemiological view of vascular trauma in Western Australia: A 5‐year study

Abstract: The injury patterns emerging from the present study will hopefully help all medical personnel to recognize the potential for vascular injury in a trauma setting.

Cited by 42 publications

References 24 publications

Temporal trends in vascular trauma in Ontario, 1991-2009: a population-based study

Temporal trends in vascular trauma in Ontario, 1991-2009: a population-based study

Epidemiology of lower limb musculoskeletal trauma with associated vascular injuries in a tertiary care institute in India

A decade of major vascular trauma: Lessons learned from gang and civilian warfare

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