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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
A Journal on Vascular and Endovascular Surgery
Italian Journal of Vascular and Endovascular Surgery 2010 June;17(2):71-8
Early outcomes in traumatic limb arterial injuries: is a blunt trauma a negative prognostic feature?
Varroni A., Manno M., Massucci M., Misuraca M., Genovese V., Ianni G., Abi Rached H., Napoli F., Capoccia L., Bertoletti G.
Vascular Surgery Division, Department of Emergency and Surgical Critical Care, S. M. Goretti Hospital, Latina, Italy
Aim. The aim of this paper was to assess short-term outcomes in multisystem trauma victims suffering from limbs arterial injuries respect to clinical risk factors.
Methods. A retrospective analysis on a single-centre case series. all consecutive severely injured patients (Revised Trauma Score ≤4) with limb arterial injuries treated between August 1999 and December 2007 at our Vascular Surgery Division in an Emergency and Surgical Critical Care Department. Analysis of association of clinical characteristics such as type of trauma (blunt or penetrating), number of limb structures involved (> 2 or ≤2) and severity of multisystem trauma (RTS <3 or 3
Conclusion. The arterial trauma can occur with different clinical patterns and, according on our experience, the blunt trauma compared with penetrating trauma is associated with an increased incidence of loss of limb or function.