Penetrierende arterielle Gefäßverletzungen im Hinblick auf Diagnostik, Therapie und Amputationsrate
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Philipps-Universität Marburg
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Abstract
Background: Penetrating arterial injuries to the limbs are common injuries in high volume trauma centers. Their
overall surgical results reported in the literature are satisfactory - apart of those of the popliteal artery that still may
lead to a significant incidence in amputations. With the present study we assessed our outcome with penetrating
arterial injuries to the limb as to see if the direct involvement of vascular surgeons in the management of popliteal
artery injuries leads to an improved (lowered) amputation rate. Results were benchmarked with our published
results from previous years.
Methods: All patients sustaining penetrating arterial injuries to the limbs admitted to the Chris Hani Baragwanath
Academic Hospital during an 18- month period ending in September 2011 were included in this study. Axillary,
brachial and femoral artery injuries were operated on by the trauma surgeons as in the past. All popliteal artery
injuries were operated on by the vascular surgeons (new).
Results: There were a total of 113 patients with 116 injuries, as some patients had multiple vascular injuries: 10
axillary, 47 brachial, 34 femoral and 25 popliteal artery injuries. Outcome of axillary, brachial and femoral artery
injury repair were excellent and not significantly different from our previous reported experience. Injury to the
popliteal artery showed a diminished re-exploration rate from 34% down to 10% (p = 0,049) and a decrease of
amputation rate from 16% to 11% which was statistically not significant (p = 0,8).
Conclusion: Penetrating arterial trauma to the axillary, brachial and femoral artery is followed by excellent results
when operated by trauma surgeons. In the case of popliteal artery injury operated by the vascular surgeons, the
results of this study do not show any statistically significant difference related to amputation rate from our previous
reported studies when operated by trauma surgeons. Taking into consideration the diminished re-exploration rate
and a tendency to a lower amputation rate, we feel that there is possible tendency of better outcome if operated
by vascular surgeons. Multicenter studies with large number of enrolled patients will be required to prove the
validity of this suggestion.
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Dates
Created: 2015Issued: 2016-02-04
Faculty
Medizin
Publisher
Philipps-Universität Marburg
Language
ger
Data types
DoctoralThesis
Keywords
Penetrating traumaOutcomeVascular repairPopliteal arteryVascular surgeonTreatment protocolAmputation rate
DFG-subjects
SchussverletzungAmputationGefäßchirurgieGefäß
DDC-Numbers
610
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Florido, Carla: Penetrierende arterielle Gefäßverletzungen im Hinblick auf Diagnostik, Therapie und Amputationsrate. : Philipps-Universität Marburg 2016-02-04. DOI: https://doi.org/10.17192/z2016.0011.
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This item has been published with the following license: In Copyright