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Rivista di Chirurgia Vascolare ed Endovascolare

Official Journal of the Italian Society of Vascular and Endovascular Surgery
Indexed/Abstracted in: EMBASE, Scopus




Italian Journal of Vascular and Endovascular Surgery 2010 June;17(2):71-8

lingua: Inglese

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 Results. One-hundred-twenty-six vascular lesions in 115 patients were treated at our Vascular Surgery Division; of them 5 primary amputations were excluded from the study. Seventy-five limbs on 121 (62%) have had blunt injuries and 46 (38%) penetrating injuries. The treatment was surgical in 113 lesions, endovascular in 2 cases and hybrid in 6. Perioperative (30-day) death rate was 1.7%. In the blunt trauma group the incidence of arterial re-obstruction was two-to-three-fold increased respect to penetrating trauma (5.3% vs. 2.1%) with 4% secondary amputation and loss of function rates in the blunt trauma group.
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.

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