[Influence of etiology and morphology of traumatic vascular injuries on outcome, risk of amputation and mortality].
In a retrospective trial 159 vascular injuries in 149 patients were registered between 1987-1996. Extremity vessels were injured in 76% of the cases. The same incidence was observed in blunt and penetrating mechanisms. Blunt vascular injuries were associated with an higher rate of live threatening organ damage, longer times of ischaemia (6.5 versus 3.0 h) and an higher mortality (9.7 versus 20.3%) than penetrating injuries. We have found an increased mortality rate in all cases with concomitant trauma of CNS, chest, abdomen or bones. The overall amputation rate in all peripheral vascular injuries has been 22.6%. The functional outcome has been reduced by nerve lesions, amputation and the sequelae of fractures.
Teweleit
S
S
Klinikum der Friedrich-Schiller-Universität Jena, Chirurgische Klinik, Bachstrasse 18, 07740 Jena.
Rimpler
H
H
Markgraf
E
E
D000671:Amputation, Surgical; D001158:Arteries / Q000293:injuries* / Q000601:surgery; D005121:Extremities / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000401:mortality / Q000601:surgery*; D009104:Multiple Trauma / Q000401:mortality / Q000601:surgery*; D011183:Postoperative Complications / Q000401:mortality*; D012307:Risk Factors; D015996:Survival Rate; D014680:Veins / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000401:mortality / Q000601:surgery*; D014950:Wounds, Penetrating / Q000401:mortality / Q000601:surgery*