Traumatic Arterial Spasm Resulting in Gangrene

Russo, Vincent J.

doi:10.1097/01241398-198507000-00021

Cited by 7 publications

(1 citation statement)

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“…Neonates and young children have a smaller circulating blood volume and proportionately smaller arteries that are highly prone to vasospasm. 11,12 Also, the need for future growth of blood vessels and limbs and the long-term durability of vascular repairs must be considered. Thus, while older children are likely to have the best outcomes when managed similarly to adults with vascular injury, 13,14 younger patients may require a modified approach.…”

Section: Introductionmentioning

confidence: 99%

Vascular Injuries in the Young

Cannon

Peck²

2011

Perspectives in Vascular Surgery and Endovascular Therapy

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Vascular injuries in children result from invasive procedures, penetrating trauma, and blunt injuries. Depending on local practice patterns, these injuries are managed by a range of subspecialists with little guidance from the literature on the optimal approach to diagnosis and management of these challenging injuries. Recently, more aggressive operative approaches to managing injuries in the young have been advocated and have been supported by recent reports from several series of wartime vascular injuries involving children. This review summarizes the scope of both iatrogenic and traumatic vascular injuries and the historic and current literature on these topics. Treatment strategies are also reviewed placing emphasis on the transition from ligation or heparinization to the current trend of managing suspected vascular injuries with operative exploration and repair, including, in some instances, endovascular diagnosis and intervention. Future directions for clinical research in this area are also discussed, which will hopefully promote more multidisciplinary collaboration in this area.

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Section: Introductionmentioning

confidence: 99%