Vascular complications and special problems in vascular trauma

M. J. Martin, A. J. Perez-Alonso, J. A. Asensio

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

The evaluation and management of patients with vascular trauma or injury often involve rapid decision making in less than ideal circumstances. Immediate consequences such as hemorrhage, ischemia, compartment syndrome, thrombosis, and embolization may be life threatening and require immediate intervention. In addition, a number of regional and systemic complications of the initial vascular pathology are possible, such as shock, acute renal failure, myocardial infarction, or stroke. Understanding the disease process, as well as the optimal diagnostic and therapeutic interventions, is critically important to minimize the risk of these highly morbid or potentially mortal complications. The managing physician must be adept and well versed at both the initial management of the specific vascular injury and the many potential complications that may subsequently arise. This article will review a number of vascular-specific complications and provide details of strategies for their prevention or optimal management. These problems include traumatic injuries to the arterial or venous system, failure of vascular repairs or reconstructions, surgical site and graft infections, anastomotic complications, and compartment syndromes. In addition, arterial and venous complications secondary to the use of illicit intravenous drug use and cocaine-related vascular injury will be discussed. Finally, the increasingly important topic of iatrogenic or procedure-related vascular injuries and complications will be reviewed.

Original languageEnglish (US)
Pages (from-to)569-589
Number of pages21
JournalEuropean Journal of Trauma and Emergency Surgery
Volume39
Issue number6
DOIs
StatePublished - Oct 24 2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

Fingerprint Dive into the research topics of 'Vascular complications and special problems in vascular trauma'. Together they form a unique fingerprint.

  • Cite this