Literature review of peripheral vascular trauma: Is the era of intervention coming?
Traumatic peripheral vascular injury is a significant cause of disability and death either in civilian environments or on the battlefield. Penetrating trauma and blunt trauma are the most common forms of vascular injuries. Besides, iatrogenic arterial injury (IAI) is another pattern of vascular trau...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2020-02-01
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| Series: | Chinese Journal of Traumatology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127519303050 |
| _version_ | 1818614025852813312 |
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| author | Jian-Long Liu Jin-Yong Li Peng Jiang Wei Jia Xuan Tian Zhi-Yuan Cheng Yun-Xin Zhang |
| author_facet | Jian-Long Liu Jin-Yong Li Peng Jiang Wei Jia Xuan Tian Zhi-Yuan Cheng Yun-Xin Zhang |
| author_sort | Jian-Long Liu |
| collection | DOAJ |
| description | Traumatic peripheral vascular injury is a significant cause of disability and death either in civilian environments or on the battlefield. Penetrating trauma and blunt trauma are the most common forms of vascular injuries. Besides, iatrogenic arterial injury (IAI) is another pattern of vascular trauma. The management of peripheral vascular injuries has been improved in different environments and wars. There are different types of vascular injuries, such as vasospasm, contusion, intimal flaps, intimal disruption or hematoma, external compression, laceration, transection and focal wall defects, etc. The main clinical manifestations of vascular injuries are shock following massive hemorrhage and limb necrosis due to tissue and organ ischemia. Ultrasound, computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are most valuable for assessment of peripheral vascular injuries. Angiography remains the gold standard for diagnosing vascular trauma. Immediate hemorrhage control and rapid restoration of blood flow are the primary goals of vascular trauma treatment. There are many operative treatment methods for vascular injuries, such as vascular suture or ligation, vascular wall repair and vascular reconstruction with blood vessel prostheses or vascular grafts. Embolization, balloon dilation and covered stent implantation are the main endovascular techniques. Surgical operation is still the primary treatment for vascular injuries. Endovascular treatment is a promising alternative, proved to be safe and effective, and preferred selection for patients. In summary, rapid diagnosis and timely surgical intervention remain the mainstays of the treatment. However, many issues need to be resolved by further studies. Keywords: Endovascular procedures, Surgical procedures, Operative, Peripheral vascular trauma |
| first_indexed | 2024-12-16T16:11:27Z |
| format | Article |
| id | doaj.art-c552e8e0d55644279c1fb1179ae0f863 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-12-16T16:11:27Z |
| publishDate | 2020-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-c552e8e0d55644279c1fb1179ae0f8632022-12-21T22:25:12ZengElsevierChinese Journal of Traumatology1008-12752020-02-0123159Literature review of peripheral vascular trauma: Is the era of intervention coming?Jian-Long Liu0Jin-Yong Li1Peng Jiang2Wei Jia3Xuan Tian4Zhi-Yuan Cheng5Yun-Xin Zhang6Corresponding author.; Department of Vascular Surgery, Beijing Jishuitan Hospital, Beijing 100035, ChinaDepartment of Vascular Surgery, Beijing Jishuitan Hospital, Beijing 100035, ChinaDepartment of Vascular Surgery, Beijing Jishuitan Hospital, Beijing 100035, ChinaDepartment of Vascular Surgery, Beijing Jishuitan Hospital, Beijing 100035, ChinaDepartment of Vascular Surgery, Beijing Jishuitan Hospital, Beijing 100035, ChinaDepartment of Vascular Surgery, Beijing Jishuitan Hospital, Beijing 100035, ChinaDepartment of Vascular Surgery, Beijing Jishuitan Hospital, Beijing 100035, ChinaTraumatic peripheral vascular injury is a significant cause of disability and death either in civilian environments or on the battlefield. Penetrating trauma and blunt trauma are the most common forms of vascular injuries. Besides, iatrogenic arterial injury (IAI) is another pattern of vascular trauma. The management of peripheral vascular injuries has been improved in different environments and wars. There are different types of vascular injuries, such as vasospasm, contusion, intimal flaps, intimal disruption or hematoma, external compression, laceration, transection and focal wall defects, etc. The main clinical manifestations of vascular injuries are shock following massive hemorrhage and limb necrosis due to tissue and organ ischemia. Ultrasound, computed tomography angiography (CTA) and magnetic resonance angiography (MRA) are most valuable for assessment of peripheral vascular injuries. Angiography remains the gold standard for diagnosing vascular trauma. Immediate hemorrhage control and rapid restoration of blood flow are the primary goals of vascular trauma treatment. There are many operative treatment methods for vascular injuries, such as vascular suture or ligation, vascular wall repair and vascular reconstruction with blood vessel prostheses or vascular grafts. Embolization, balloon dilation and covered stent implantation are the main endovascular techniques. Surgical operation is still the primary treatment for vascular injuries. Endovascular treatment is a promising alternative, proved to be safe and effective, and preferred selection for patients. In summary, rapid diagnosis and timely surgical intervention remain the mainstays of the treatment. However, many issues need to be resolved by further studies. Keywords: Endovascular procedures, Surgical procedures, Operative, Peripheral vascular traumahttp://www.sciencedirect.com/science/article/pii/S1008127519303050 |
| spellingShingle | Jian-Long Liu Jin-Yong Li Peng Jiang Wei Jia Xuan Tian Zhi-Yuan Cheng Yun-Xin Zhang Literature review of peripheral vascular trauma: Is the era of intervention coming? Chinese Journal of Traumatology |
| title | Literature review of peripheral vascular trauma: Is the era of intervention coming? |
| title_full | Literature review of peripheral vascular trauma: Is the era of intervention coming? |
| title_fullStr | Literature review of peripheral vascular trauma: Is the era of intervention coming? |
| title_full_unstemmed | Literature review of peripheral vascular trauma: Is the era of intervention coming? |
| title_short | Literature review of peripheral vascular trauma: Is the era of intervention coming? |
| title_sort | literature review of peripheral vascular trauma is the era of intervention coming |
| url | http://www.sciencedirect.com/science/article/pii/S1008127519303050 |
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