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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Giornale Italiano di Chirurgia Vascolare 2003 March;10(1):41-52
language: English, Italian
Extremity vascular traumas. A report of 22 cases treated
Angelini R., Rutolo F., Di Nardo E., Bajocchi G., Ucchino S., Spigonardo F.
Unità Operativa di Chirurgia Vascolare Ospedale Clinicizzato «SS. Annunziata», Chieti
Background. An increase in the number of vascular traumas of the extremities has been observed over the past decades causing many problems for a multidisciplinary therapeutic approach and surgical technique.
Methods. The authors report a series of 22 vascular traumas treated over a 42-month period. No fatality was reported. Sixteen patients (72.7%) underwent simple eco colour-Doppler directly in the operating theatre, whereas angiography was only used in 6 cases of lower limb lesions associated with multiple trauma (27.2%). Limb salvage was achieved in 21 cases (95.4%); demolitive surgery was only required in 1 case (4.5%). Severe neurological sequelae were observed in 2 cases (9%) and motor deficit caused by tendon lesions in 1 case (4.5%).
Results. The good results obtained are the result of the short ischemic interval between the acute event and treatment (mean time lapse 3 hours and 40 min).
Conclusions. The authors discuss the need for a multidisciplinary approach that is as rapid as possible to guarantee the best long-term results.