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January 22, 2026Journal of the American College of Surgeons

Characterizing Contemporary Management of Major Pediatric Vascular Trauma: A Multi-Year, Dual-Center Retrospective Analysis

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Authors

KLKevin J LangUniversity of Tennessee Health Science CenterRWRegan F. WilliamsUniversity of Tennessee Health Science CenterHAHamda AlmaazmiUniversity of Tennessee Health Science Center

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Implication

This retrospective analysis describes management patterns and outcomes in pediatric vascular trauma, suggesting patterns for improved care.

Key Points

  • This research aims to characterize contemporary management strategies and identify predictors of adverse outcomes in pediatric vascular trauma.
  • Retrospective review of a prospectively maintained database and trauma registry data.
  • Included all patients under 18 treated for non-iatrogenic vascular trauma from 2019 to 2025.
  • Analysis of demographics, injury characteristics, interventions, and outcomes.
  • Majority of patients were male (73%) and had penetrating injuries (62%).
  • Only 1.2% of patients required major amputation despite high rates of lower extremity reconstruction.
  • Vascular-related mortality was 6.3%, primarily in adolescents presenting in shock.

Cite This Study

Lang et al. (2026) studied this question.

synapsesocial.com/papers/6971bdcf642b1836717e2777https://doi.org/10.1097/xcs.0000000000001756
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