title: [Vascular injuries--management in a non-university central hospital].
abstract: In a retrospective study the surgically treated vascular injuries (n = 35) of the last 10 years were evaluated. One third of the patients had multiple trauma and in 57% of the cases vascular injury was accompanied by a fracture. All patients (n = 28) except those who underwent delayed amputation (amputation rate 14%) have been followed personally for an average of 5.1 years. 90% of these patients showed an excellent or acceptable longtime result in regard to vascularity, nobody complained of claudication. Diagnosis of a vascular injury was mostly confirmed by direct surgical exploration, only one third of the lesions were diagnosed by arteriogram. A positive signal in Doppler examination does not exclude vascular injury and therefore cannot replace arteriography or exact clinical evaluation.
authors.affiliation: Chirurgische Klinik, Rätisches Kantons- und Regionalspital Chur.
authors.forename: G A
authors.initials: GA
authors.lastname: Melcher
authors.forename: G
authors.initials: G
authors.lastname: Mark
authors.forename: A
authors.initials: A
authors.lastname: Leutenegger
authors.forename: T
authors.initials: T
authors.lastname: Rüedi
mesh_terms: D000328:Adult; D000671:Amputation, Surgical; D005260:Female; D005500:Follow-Up Studies; D005597:Fractures, Open / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D007866:Leg / Q000098:blood supply*; D008297:Male; D009104:Multiple Trauma / Q000175:diagnosis / Q000601:surgery*; D009131:Muscle, Smooth, Vascular / Q000293:injuries*; D011183:Postoperative Complications / Q000175:diagnosis
vernacular_title: Gefässverletzungen--Versorgung am nicht universitären Zentrumspital.