Our Surgical Experience in Peripheral Vascular Injuries: Retrospective Analysis of 45 Cases

Depboylu, Burak Can; Külcü, Nurşin; Yolyapan, Durmuş Aykut

doi:10.9739/uvcd.2014-42627

Cited by 3 publications

(11 citation statements)

References 12 publications

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“…The patients in the vascular surgery group were evaluated retrospectively in terms of accompanying comorbid diseases, injury sites, type of anesthesia, surgical procedure, operation time, complications, intensive care and hospital stay and followup results. [4,6] The patients in the interventional group were evaluated retrospectively in terms of comorbid diseases, type of interventional or endovascular treatments, duration of procedure, type of anesthesia, and complications. [7] The demographic data and procedural details of both groups are shown in Table 1 and Table 2.…”

Section: Methodsmentioning

confidence: 99%

“…In patients who were evaluated as an outpatient clinic by cardiovascular surgery, the patient's history and physical examination revealed that the presence of pulse deficit, coldness, cyanosis, uncontrollable or pulsatile bleeding at the injury site, enlarged or large hematoma, murmur or trill were interpreted as vascular injury findings. [4] The rapid COVID-19 PCR swab test was taken in patients who were diagnosed quickly, without the need for advanced diagnostic methods, and after the patient was taken into operation. Blood and blood products have been used in multi-trauma patients with excessive blood loss and haemodynamic instability.…”

Section: Open Vascular Proceduresmentioning

confidence: 99%

“…Patients who presented with limb pain, pallor, coldness, and discoloration and who were found to have an appearance consistent with acute embolism as a result of contrast-enhanced extremity computed tomography (CT) angiography were taken into emergency surgery. [4] Simultaneously, high resolution Thorax CT imaging was performed and rapid COVID-19 PCR swab test was taken for all patients. General (61.7%) and local anesthesia (38.3%) was preferred in patients undergoing open surgery.…”

Section: Open Vascular Proceduresmentioning

confidence: 99%

“…After the hemodynamic stabilization of the patients was achieved, if there was no contraindication, 100 U / kg heparin IV bolus was given before placing the vascular clamp. [4] Subsequently, the proximal and distal ends of the injured vascular structures were determined visually, and if necessary, thrombectomy was performed first with a Fogarty catheter. Primary repair or saphenous vein graft interposition is aimed in the anastomosis in order to ensure the continuity of the vascular structures and optimum circulation.…”

Section: Open Vascular Proceduresmentioning

confidence: 99%

“…[3] Besides this, acute limb ischemia and major traumatic vascular injuries are significant vascular emergencies that require fastly and early intervention, resulting in functional deficit, limb loss, and even death. [4] Moreover, in selected patients with proximal deep vein thrombosis (DVT), pharmacomechanical thrombectomy (PMT) and catheter-directed thrombolysis can be performed in terms of life-threatening venous thromboembolism (VTE). [5] This study aims to present endovascular and open vascular surgical procedures performed in single center between March 2020 and December 2020 during the ongoing pandemic.…”

Section: Introductionmentioning

confidence: 99%

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Single Center Experience in Vascular and Endovascular Surgery during the COVID-19 Pandemic: Walking on the Icy Road

Yiğit¹

2021

JCCI

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Background: Along with other areas of specialization, the cardiovascular surgery clinic is a department that has a significant contribution to the COVID-19 pandemic process with both the management of vascular emergencies and the rapid and effective use of interventional methods. This study aims to present endovascular and open vascular surgical procedures performed in single center between March 2020 and December 2020 during the ongoing pandemic. Materials and methods: A total of 230 patients underwent open surgery 60 patients and endovascular / interventional treatment 170 patients by the Cardiovascular Surgery clinic were included in the study. It was aimed to determine the procedural details of the patients, follow-up results, complications and mortality rates. The compatibility of the variables to normal distribution was examined using visual and analytical methods. The Shapiro-Wilk test was used to check the normal distribution of continuous variables. Results: In the open vascular surgery group, the mean age was 51.4±23.2 years (range 12–90 years). Sixteen (26.7%) patients were female and 44 (73.3%) male. The median follow-up from the time of the open vascular procedure was 4.3±1.2 months. There were ten (16.7%) minor complications. There were five deaths after procedures. In the endovascular / interventional group, the mean age was 58.5±18.6 years (range 18–94 years). Ninety one (53.5%) patients were female and 79 (46.5%) male. The median follow-up from the time of the drug-eluting balloon angioplasty and pharmacomechanical thrombectomy patients were 4.0±1.1 months. There were thirty four (20%) minor complications and two deaths after procedures. Conclusion: Our experience and successful results shows how surgical and interventional procedures participated in the care of hospitalized COVID-19 patients during the height of the coronavirus pandemic.

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Section: Methodsmentioning

confidence: 99%

Section: Open Vascular Proceduresmentioning

confidence: 99%

Section: Open Vascular Proceduresmentioning

confidence: 99%

Section: Open Vascular Proceduresmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Single Center Experience in Vascular and Endovascular Surgery during the COVID-19 Pandemic: Walking on the Icy Road

Yiğit¹

2021

JCCI

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Age differences of arterial trauma – Selection of the most appropriate age classification

Petrov

2020

Pol. Ann. Med.

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Introduction: Studies on age differences of arterial trauma (AT) carry significant methodological differences in terms of selection of the most appropriate age classification. Aim: This study aims to verify the most optimal age classification when comparing clinical patterns of the civil AT. Material and methods: 222 AT patients were identified from the Lviv Clinical Regional Hospital. In each case the following clinical patterns were identified: patient age, etiology, mechanism, AT type, topography, diagnostics mode, treatment type. Patients were distributed using six age classifications (Erikson 1950, UN 1989, Quinn 1994, Craig 2000, WHO physical activity recommendations 2010, by decades of life). Generalized linear models (GLMs) were created, with age distributions as predictors and clinical patterns as dependent factors. Akaike information criterion (AIK) was used to compare the quality of statistical sets. Results and discussion: Six GLMs were obtained, in each age of them age classifications were compared using the AIK. Rating list of age classifications was developed (starting with the most appropriate and ending with the least appropriate): E. Erikson (1950) → V. Quinn (1994) → G. Craig (2000) → UN (1989) → Decades → WHO (2010). Conclusions: Human development classifications may be preferable in assessing the age differences of AT in patients of wide range.

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Our experiences with the surgical repair of traumatic vascular injuries

Halıcı¹

2020

Turk J Vasc Surg

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Objectives:The aim of this study is to report our experiences about the surgical repair of traumatic vascular injuries.Patients and methods: Between January 2011 and July 2019, 164 patients (151 males, 13 females; mean age 35.6±13.8 years; range, 6 to 77 years) who underwent emergency surgery due to vascular injuries were included in this retrospective study. Operative techniques, causes for injury, and patient outcomes were analyzed. Data were collected from the patient records.Results: Repair for major arterial injury was performed in 149 patients and 59 of them had a major venous injury. Of 149 patients, 18 had an only major arterial injury. Seven patients had an only major venous injury. Exploration and ligation of bleeding of the small arteries and veins were performed in eight patients. Primary repair with end-to-end anastomosis in 85 arterial and 20 venous injuries was performed. Autologous vein graft interpositioning was performed in 36 arterial and 16 venous injuries. Lateral wall repair was performed in nine arterial and eight venous injuries. Ligation was performed in 25 arterial and 20 venous injuries. An 8-mm biological graft interpositioning was performed to both popliteal artery and popliteal vein in one patient with a gunshot wound. Externally supported polytetrafluoroethylene synthetic graft interposition was performed in five arterial injuries. A 6-mm Dacron graft was placed in one patient. Thoracic endovascular aorta repair was performed in one patient with a descending thoracic aortic rupture. Conclusion:Peripheral vascular injuries should be kept in mind in trauma patients and detected vascular injuries should be repaired as soon as possible after a detailed vascular examination.

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Our Surgical Experience in Peripheral Vascular Injuries: Retrospective Analysis of 45 Cases

Cited by 3 publications

References 12 publications

Single Center Experience in Vascular and Endovascular Surgery during the COVID-19 Pandemic: Walking on the Icy Road

Single Center Experience in Vascular and Endovascular Surgery during the COVID-19 Pandemic: Walking on the Icy Road

Age differences of arterial trauma – Selection of the most appropriate age classification

Our experiences with the surgical repair of traumatic vascular injuries

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