Complications of operative treatment of injuries of peripheral arteries.
In 1991 and 1992, a total of 97 patients with 106 peripherial arterial injuries underwent surgery at the Institute for Cardiovascular Diseases, Clinical Centre of Serbia. Civilian injuries accounted for 53 (54.6%) patients (94.3% males, age range: 16-63 yr, mean: 35.2), and 44 patients had war injuries (93.2% males, age range: 19-61 yr, mean: 34.8). The injuries affected the superfitial femoral artery in 31 (29.24%); the popliteal artery in 28 (26.41%); the brachial artery in 17 (16.04%); the posterior tibial artery in 6 (5.66%); the axillary artery in 5 (4.72%); the anterior tibial artery in 5 (4.72%); the tibioperoneal trunk in 4 (3. 77%); the common femoral artery in 4 (3.77%); the external iliac artery in 2 (1.89%); the profound femoral artery in 2 (1.89%); the radial artery in 1 (0.94%); and ulnar artery in 1 (0.94%).A total of 98 reconstructive procedures were used to treat these patients. Graft interposition carried out in 50 (51.02%); by pass in 25 (25. 51%); end-to-end anastomosis in 9 (9.18%); suture in 8 (8.16%); ligation in 4 (4.08%); and patch-angioplasty in 2 (2.04%). Primary reconstruction of injured arteries was performed in 72.2% and secondary repair in 27.8% cases. Infection developed in 51 (52.57%) patients, and it was significantly (P<0.05) more common in the war injuries (70.45%) and in secondary repairs (88.89%). The presence of associated lesions (69.56%) was also correlated with a greater rate of infection. Amputation was necessary in 21 (21.65%) of our patients, and was significantly (P<0.05) more often performed after secondary (44.44%) than primary operations (12.86%) and in the presence of associated injuries (32.61%).
Velinovic
M M
MM
Institute for Cardiovascular Diseases, Clinical Centre of Serbia, Belgrade, Yugoslavia.
Davidovic
B L
BL
Lotina
I S
IS
Vranes
R M
RM
Djukic
L P
LP
Arsov
J V
JV
Ristic
V M
VM
Kocica
J M
JM
Petrovic
L P
LP
D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical; D001158:Arteries / Q000293:injuries* / Q000601:surgery*; D001366:Axillary Artery / Q000293:injuries; D001916:Brachial Artery / Q000293:injuries; D005260:Female; D005263:Femoral Artery / Q000293:injuries; D006801:Humans; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000293:injuries; D011183:Postoperative Complications; D019651:Plastic Surgery Procedures; D016909:Tibial Arteries / Q000293:injuries; D014656:Vascular Surgical Procedures; D014857:Warfare