Outcomes of vascular trauma associated with an evolution in the use of endovascular management

Contemporary management of pediatric lower extremity vascular injuries

“…Although limb salvage remains the goal for most patients, amputation at the most distal functional level remains a viable option to prioritize life over limb, in select cases of polytrauma, mangled extremities, or severe postoperative complications. 3 An interesting finding of this study, which contrasts the documented increase in utilization of endovascular techniques in the adult population, 4 is that none of their pediatric patients was primarily treated with an endovascular approach. One patient, however, had a stent graft used as part of a staged treatment approach to a vascular reconstruction complication (anastomotic pseudoaneurysm).…”