The European experience with vascular injuries.
The rich and diverse heritage of the management of vascular injuries in the 45 independent European countries prevents the authors from revealing a uniform picture of the European experience, but some trends are clearly emerging. In countries with a low incidence of penetrating trauma and increasing use of interventional vascular procedures, the proportion of iatrogenic vascular trauma exceeds 40% of all vascular injuries, whereas on other parts of the continent, armed conflicts are still a major cause of vascular trauma. National vascular registries, mostly in the Scandinavian countries, produce useful, nationwide data about vascular trauma and its management but suffer still from inadequate data collection. Despite a relatively low incidence of vascular trauma in most European countries, the results are satisfactory, probably in most cases because of active and early management by surgeons on call, whether with vascular training or not, treating all kinds of vascular surgical emergencies. In some countries, attempts at developing a trauma and emergency surgical specialty, including expertise in the management of vascular injuries, are on their way.
Fingerhut
Abe
A
Centre Hospitalier Intercommunal, Poissy, France.
Leppäniemi
Ari K
AK
Androulakis
George A
GA
Archodovassilis
F
F
Bouillon
Bertil
B
Cavina
Enrico
E
Chaloner
Eddie
E
Chiarugi
Massimo
M
Davidovic
Lazar
L
Delgado-Millan
Miguel Angel
MA
Goris
Jan
J
Gunnlaugsson
Gunnar H
GH
Jover
Jose Maria
JM
Konstandoulakis
Manoussos M
MM
Kurtoglu
Mehmet
M
Lepäntalo
Mauri
M
Llort-Pont
Carme
C
Meneu-Diaz
Juan Carlos
JC
Moreno-Gonzales
Enrique
E
Navarro-Soto
Salvador
S
Panoussis
P
P
Ryan
James M
JM
Salenius
Juha P
JP
Seccia
Massimo
M
Takolander
Rabbe
R
Taviloglu
Korhan
K
Tiesenhausen
Kurt
K
Torfason
Bjarni
B
Uranüs
Selman
S
D000671:Amputation, Surgical / Q000706:statistics & numerical data; D001158:Arteries / Q000293:injuries* / Q000601:surgery; D003431:Cross-Cultural Comparison; D003430:Cross-Sectional Studies; D005060:Europe; D006801:Humans; D015996:Survival Rate; D014680:Veins / Q000293:injuries* / Q000601:surgery; D014947:Wounds and Injuries / Q000401:mortality / Q000601:surgery*