[Severe limb ischemia due to iatrogenic trauma].
OBJECTIVE
Assess the frequency, severity and technical problems raised by iatrogenic trauma to the arteries.


METHODS
A retrospective study of 45 cases of iatrogenic arterial trauma treated over a 25-year period was studied.


RESULTS
The most frequent cause was arterial catheterization (n = 32 including 24 of the lower limbs and 8 for the upper limbs) performed for arteriography (n = 16), coronarography (n = 13) or endovascular therapy (n = 3). Thrombectomy was performed in 24 cases, bypass in 4 and endarterectomy in 4. Post-operative period was uneventful in all except two fatal cases.


CONCLUSIONS
In most cases, iatrogenic arterial trauma can be avoided with proper technique. Prognosis is highly dependent on early care.
Melliere
D
D
Service de Chirurgie Vasculaire, CHU Henri-Mondor, Créteil.
Castier
Y
Y
Becquemin
J P
JP
Cavillon
A
A
Desgranges
P
P
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001132:Arm / Q000098:blood supply*; D002406:Catheterization, Peripheral / Q000009:adverse effects; D004621:Embolization, Therapeutic / Q000009:adverse effects; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000209:etiology*; D007866:Leg / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D009985:Orthopedics; D011183:Postoperative Complications; D012189:Retrospective Studies; D014648:Varicose Veins / Q000150:complications / Q000601:surgery
Ischémies sévères des membres dues à des traumatismes iatrogènes.