Traumatic Aortic Injuries Associated with Major Visceral Vascular Injuries in Major Blunt Trauma Patients

Abstract

Aortic injuries associated with MAAVB injuries in major trauma patients seem to present in a different clinical scenario. These patients present increased risk of rhabdomyolysis, visceral ischemia, and acute renal failure, as well as higher in-hospital mortality. A multidisciplinary approach combining endovascular and open surgical techniques for a staged treatment of these life-threatening aortic and MAAVB injuries is mandatory in this critical subset of trauma patients.

Topiramate has protective effect on renal injury

“…Renal ischemia/reperfusion (I/R) injury affects the prognosis of patients in a wide range of clinical situations including transplantation, renal resection surgery, abdominal trauma, and hemorrhagic shock and aorta injury during abdominal surgery (1). Aortic occlusion and reperfusion produce distant organ injury by multiple mechanisms including neutrophilic infi ltration and the generation of reactive oxygen species (ROS) and cytokines (2,3).…”

Non-iatrogenic civilian vascular trauma in a well-defined geographical region in Finland

“…Civilian vascular trauma is an uncommon, but potentially fatal injury [1][2][3][4]. Due to its rarity the true incidence and mortality of peacetime vascular trauma is yet to be determined.…”