[Peripheral vascular injuries].
Between 1994-2000, 60 peripheral vascular injuries were admitted to the Turgut Ozal Medical Center Thoracic and Cardiovascular Surgery Clinic. Forty eight (80%) of patients were male, twelve (20%) were female and their age ranged from 5 to 70 years (mean 28.9 years). The causes of injuries were related to penetrating device in 34 (56.6%), gun shots in 14 (23.3%), blunt trauma in seven (11.6%) and iatrogenic causes in five(8.3%). Total laceration, partial laceration and pseudoaneurysm were observed in 45 (75%), 14 (23.3%) and one (1.6%) respectively. The localization of injuries were the upper limbs in 34(56.6%) and the lower limbs in 26 (43.4%). The vascular injury localizations in order of frequency were femoral artery in 12 cases (20.75%), radial artery in ten cases (17%), popliteal artery in ten cases (15%), brachial artery in nine cases (15%), axillary artery in nine cases (13.2%), ulnar artery in six cases (11.3%) and tibial artery in four cases(7.4%). There were nearby venous injuries in nine patients (15%) and neural injuries in ten patients (16.6%). The patients' mean admission time to the hospital was 3 hours and 30 minutes and mean operation time for revascularization was within 95 minutes. The operative techniques were autogenous saphenous vein graft interposition in 27 cases (45%), resection and end-to-end anastomosis in 19 cases (31.6%), lateral repair in ten cases (16.6%), synthetic graft insertion in three cases (4.8%) and ligation in one case (1.6%). Our success rate was 98.2% in salvaging the limbs. Mean length of hospital stay was 14.4 days. Mortality was not observed during the hospital stay.
Cihan
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Inönü Universitesi Tip Fakültesi Göğüs Kalp ve Damar Cerrahisi Anabilim Dali, Malatya.
Gülcan
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Hazar
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Türköz
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D000293:Adolescent; D000328:Adult; D000368:Aged; D001158:Arteries / Q000293:injuries* / Q000601:surgery*; D001916:Brachial Artery / Q000293:injuries; D002648:Child; D002675:Child, Preschool; D004638:Emergency Treatment; D005121:Extremities / Q000098:blood supply / Q000293:injuries; D005260:Female; D005263:Femoral Artery / Q000293:injuries; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D011150:Popliteal Artery / Q000293:injuries; D017534:Radial Artery / Q000293:injuries; D014421:Turkey / Q000453:epidemiology