[Late outcome after management of vascular injuries].
Long-term results of vascular repair in patients with trauma are influenced by diagnosis and therapy in the acute stage. Reconstructions of major venous or arterial injuries of the extremities demonstrate a higher rate of early occlusion compared with the follow-up period. The optimal management of major venous injuries remains controversial, however, there is a tendency to vascular repair whenever it can performed safely. Venous repair of the complex type is associated with a higher rate of early occlusion. The patency rate of arterial reconstructions after vascular trauma is even more than 90% in most cases with a large proportion of fully functional limbs. Endovascular treatment of acute vascular trauma may increase, however, there are only a few cases demonstrating long-term results.
Lang
W
W
Chirurgische Klinik mit Poliklinik, Universität Erlangen, Krankenhausstrasse 12, 91054 Erlangen.
D001132:Arm / Q000098:blood supply; D001134:Arm Injuries / Q000601:surgery*; D001158:Arteries / Q000293:injuries* / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000209:etiology / Q000601:surgery; D007866:Leg / Q000098:blood supply; D007869:Leg Injuries / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D014680:Veins / Q000293:injuries* / Q000601:surgery