[Long-term course of arterial traumatisms in children. Analysis of 31 cases].
Thirty children, 17 boys and 13 girls, with 31 arterial traumatisms, were studied. The follow-up period ranged from 4 to 166 months. The purpose of this study was to analyze the long term results. The etiology in 19 cases was accidental (61.3%) and iatrogenic in 12 (38.7%). Upper limbs were affected in 15 cases, lower limbs in 13. The arterial traumatism affected the supra-aortic truncus in 2 patients and the renal artery in one other. Arteriographies were carried out in 7 cases (22.6%). Twenty-three patients (74.2%) underwent surgical procedures. The rest of the patients were managed conservatively. No amputations were needed. Three patients died by no vascular causes. The long-term results were good in terms of permeability and absence of major sequels. We conclude that IAT (Infantile Arterial Traumatisms) are potentially graves; therefore an early diagnosis and a specialized care of patients, without rigid protocols of management, are needed. The uncertain prognosis of IAT obligate to a clinical follow-up.
Alonso Pérez
M
M
Sección de Angiología y Cirugía Vascular, Hospital Covadonga, Oviedo, España.
Valle González
A
A
Barrerio Mouro
A
A
Pacho Rodríguez
J
J
Polvorinos Pascual
M F
MF
González Gutiérrez
M A
MA
Ojeda Gutiérrez
I
I
Bardón Valcarce
F
F
Fernández Menéndez
R
R
Suárez Tornín
M J
MJ
D000293:Adolescent; D001158:Arteries / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D014947:Wounds and Injuries / Q000628:therapy
Evolución a largo plazo de los traumatismos arteriales infantiles. Análisis de 31 casos.