Key result
Complete arterial occlusion accounts for ~63% of vascular trauma, primarily involving the anterior tibial artery.
Why the study?
Early diagnosis and quick treatment of vascular injuries in trauma patients are critical to prevent irretrievable ischemia, but detailed angiographic findings in extremity trauma are needed.
Cross-Sectional (n=75)
No
In extremity trauma, vascular injuries predominantly affect young men involved in motor vehicle accidents, most commonly resulting in complete occlusion of the anterior tibial artery.
At present, trauma is a common problem and regarded as the third cause of mortality in different societies. Significant part of injuries resulting from trauma is due to vascular damages. Tissue ischemia associated with vascular injuries is regarded as medical emergencies which can result in irretrievable ischemia if it continues for 6 h. Therefore, early diagnosis and quick treatment of vascular injuries are of high importance. In this cross sectional study, all trauma patients referred with possible vascular injury to angiography department of Tabriz Imam Khomeini Hospital from Apr. 2011 to Apr., 2012 underwent angiography. The results were compared with the similar studies conducted in other countries. Out of all patients, angiography detected vascular injury in 75 cases consisting of 93.7% of men and 5.3% of women. Motor vehicle (93.3%) especially motorcycles accidents were the most common cause of the damages. Leg was the most common site of trauma (62.2%) and associated fracture was seen in 86.7% of cases. Also, double fracture of leg was the most common associated fracture. Anterior tibial artery (36%) and complete arterial occlusion (62.7%) were the most common injured vessel and vascular injury, respectively. Vascular injuries are more common in young men (20-30 years old) mainly resulted from blunt trauma associated with motor vehicle especially motorcycle accidents. Leg and anterior tibial artery were introduced as the most common site and injured artery, respectively.
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Nemati et al. (2013) conducted a cross-sectional in Extremities trauma with possible vascular injury (n=75). Extremities trauma was evaluated on Angiographic findings of vascular injury. Among trauma patients with vascular damage, complete arterial occlusion was the most frequent injury (62.7%), most commonly involving the anterior tibial artery (36%).
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