Vascular complications and special problems in vascular trauma

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

Research output: Contribution to journalReview article

1 Citation (Scopus)

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

Fingerprint

Blood Vessels
Vascular System Injuries
Compartment Syndromes
Wounds and Injuries
Surgical Wound Infection
Midazolam
Street Drugs
Cocaine
Acute Kidney Injury
Shock
Decision Making
Thrombosis
Ischemia
Stroke
Myocardial Infarction
Pathology
Hemorrhage
Physicians
Transplants
Therapeutics

All Science Journal Classification (ASJC) codes

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

Cite this

Vascular complications and special problems in vascular trauma. / Martin, M. J.; Perez-Alonso, A. J.; Asensio, Juan A.

In: European Journal of Trauma and Emergency Surgery, Vol. 39, No. 6, 2013, p. 569-589.

Research output: Contribution to journalReview article

@article{3e301202e6c245858936f075800c71a6,
title = "Vascular complications and special problems in vascular trauma",
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.",
author = "Martin, {M. J.} and Perez-Alonso, {A. J.} and Asensio, {Juan A.}",
year = "2013",
doi = "10.1007/s00068-013-0336-9",
language = "English",
volume = "39",
pages = "569--589",
journal = "European Journal of Trauma and Emergency Surgery",
issn = "1863-9933",
publisher = "Urban und Vogel",
number = "6",

}

TY - JOUR

T1 - Vascular complications and special problems in vascular trauma

AU - Martin, M. J.

AU - Perez-Alonso, A. J.

AU - Asensio, Juan A.

PY - 2013

Y1 - 2013

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=84890562538&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84890562538&partnerID=8YFLogxK

U2 - 10.1007/s00068-013-0336-9

DO - 10.1007/s00068-013-0336-9

M3 - Review article

VL - 39

SP - 569

EP - 589

JO - European Journal of Trauma and Emergency Surgery

JF - European Journal of Trauma and Emergency Surgery

SN - 1863-9933

IS - 6

ER -