Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization
Abstract Trauma is the leading cause of death in the pediatric population. Although vascular trauma has an incidence of 6% in civilian population, iatrogenic injuries are the leading cause, and the most frequent injured vessel is the iliofemoral sector. However, little information is available and t...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-11-01
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| Series: | European Journal of Medical Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40001-023-01510-y |
| _version_ | 1827723832807391232 |
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| author | Rodrigo Lozano-Corona Adriana Torres-Machorro Reinhard Ortiz-Beitz Aristeo Reyes-Monroy Ignacio García-Lugo Christopher Ruben-Castillo Luis Angel Guerrero-Galindo |
| author_facet | Rodrigo Lozano-Corona Adriana Torres-Machorro Reinhard Ortiz-Beitz Aristeo Reyes-Monroy Ignacio García-Lugo Christopher Ruben-Castillo Luis Angel Guerrero-Galindo |
| author_sort | Rodrigo Lozano-Corona |
| collection | DOAJ |
| description | Abstract Trauma is the leading cause of death in the pediatric population. Although vascular trauma has an incidence of 6% in civilian population, iatrogenic injuries are the leading cause, and the most frequent injured vessel is the iliofemoral sector. However, little information is available and there are no guidelines about its treatment. Therefore, this review aimed to describe the information available concerning pediatric iatrogenic arterial trauma, focusing on the iliofemoral segment and present 3 cases. We described 11 articles with 171 patients, of whom 61% underwent surgery to treat iatrogenic trauma. Mean age was 3.28 years (standard deviation of 3.5 years), and 54% were female. Most iliofemoral injuries occurred after arterial catheterization for hemodynamic monitorization and therapeutic or diagnostic cardiac catheterization (due to congenital heart diseases, including septal defects, tetralogy of Fallot, aortic coarctation, and patent ductus arteriosus). For acute complications, arterial thrombosis was the leading injury, followed by pseudoaneurysm, hematoma, dissection, transection, avulsion, eversion, and combined lesions. |
| first_indexed | 2024-03-10T22:06:19Z |
| format | Article |
| id | doaj.art-63f1cc1aa4f24ffe815c59e7ae6d436a |
| institution | Directory Open Access Journal |
| issn | 2047-783X |
| language | English |
| last_indexed | 2024-03-10T22:06:19Z |
| publishDate | 2023-11-01 |
| publisher | BMC |
| record_format | Article |
| series | European Journal of Medical Research |
| spelling | doaj.art-63f1cc1aa4f24ffe815c59e7ae6d436a2023-11-19T12:47:12ZengBMCEuropean Journal of Medical Research2047-783X2023-11-0128111010.1186/s40001-023-01510-yReview of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterizationRodrigo Lozano-Corona0Adriana Torres-Machorro1Reinhard Ortiz-Beitz2Aristeo Reyes-Monroy3Ignacio García-Lugo4Christopher Ruben-Castillo5Luis Angel Guerrero-Galindo6Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Hospital Regional Licenciado Adolfo Lopez Mateos (Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado)Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Cardiología “Ignacio Chávez”Department of SurgeryDepartment of Surgery, Section of Vascular Surgery and Endovascular Therapy, Hospital Regional Licenciado Adolfo Lopez Mateos (Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado)Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Hospital Regional Licenciado Adolfo Lopez Mateos (Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado)Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Médicas y Nutrición “Salvador Zubirán”Department of Surgery, Section of Vascular Surgery and Endovascular Therapy, Hospital Regional Licenciado Adolfo Lopez Mateos (Instituto de Seguridad y Servicios de Salud de los Trabajadores del Estado)Abstract Trauma is the leading cause of death in the pediatric population. Although vascular trauma has an incidence of 6% in civilian population, iatrogenic injuries are the leading cause, and the most frequent injured vessel is the iliofemoral sector. However, little information is available and there are no guidelines about its treatment. Therefore, this review aimed to describe the information available concerning pediatric iatrogenic arterial trauma, focusing on the iliofemoral segment and present 3 cases. We described 11 articles with 171 patients, of whom 61% underwent surgery to treat iatrogenic trauma. Mean age was 3.28 years (standard deviation of 3.5 years), and 54% were female. Most iliofemoral injuries occurred after arterial catheterization for hemodynamic monitorization and therapeutic or diagnostic cardiac catheterization (due to congenital heart diseases, including septal defects, tetralogy of Fallot, aortic coarctation, and patent ductus arteriosus). For acute complications, arterial thrombosis was the leading injury, followed by pseudoaneurysm, hematoma, dissection, transection, avulsion, eversion, and combined lesions.https://doi.org/10.1186/s40001-023-01510-yPediatricsVascular traumaIliofemoral arteriesIatrogenic injury |
| spellingShingle | Rodrigo Lozano-Corona Adriana Torres-Machorro Reinhard Ortiz-Beitz Aristeo Reyes-Monroy Ignacio García-Lugo Christopher Ruben-Castillo Luis Angel Guerrero-Galindo Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization European Journal of Medical Research Pediatrics Vascular trauma Iliofemoral arteries Iatrogenic injury |
| title | Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization |
| title_full | Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization |
| title_fullStr | Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization |
| title_full_unstemmed | Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization |
| title_short | Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization |
| title_sort | review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization |
| topic | Pediatrics Vascular trauma Iliofemoral arteries Iatrogenic injury |
| url | https://doi.org/10.1186/s40001-023-01510-y |
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