title: 155 vascular injuries: a retrospective study in Kuwait, 1992-2000.
abstract: OBJECTIVE
  To audit the management of vascular trauma in Kuwait, 1992-2000.
  
  
  METHODS
  Retrospective open study.
  
  
  METHODS
  Vascular surgery unit, teaching hospital, Kuwait.
  
  
  METHODS
  155 patients with vascular injuries, most of which (n = 118) involved the extremities. 21 had neck injuries, 10 abdominal, and 6 chest.
  
  
  METHODS
  Revascularisation usually using the long saphenous vein in addition to direct repair or end-to-end anastomosis.
  
  
  RESULTS
  Morbidity (amputation) and mortality.
  
  
  RESULTS
  Four lower limb grafts failed, two of which (2/69, 3%) required amputation. Overall, four patients died (3%), one of pulmonary embolism and 3 of severe injuries to major abdominal vessels. 3/10 patients with abdominal vascular trauma died. Mean (SD) follow up period was 4.4 (2) years.
  
  
  CONCLUSIONS
  Civilian violence has increased in Kuwait. Vascular trauma to abdominal vessels is associated with high mortality. Autogenous saphenous vein forms an excellent conduit for revascularisation.
authors.affiliation: Vascular Surgery Unit, Department of Surgery, Mubarak Al-Kabeer Hospital, Safat, Kuwait. sami@hsc.kuniv.edu.kw
authors.forename: Sami
authors.initials: S
authors.lastname: Asfar
authors.forename: Jassim
authors.initials: J
authors.lastname: Al-Ali
authors.forename: Hussein
authors.initials: H
authors.lastname: Safar
authors.forename: Marzouk
authors.initials: M
authors.lastname: Al-Bader
authors.forename: Emad
authors.initials: E
authors.lastname: Farid
authors.forename: Ahmad
authors.initials: A
authors.lastname: Ali
authors.forename: Jalal
authors.initials: J
authors.lastname: Kansou
mesh_terms: D000007:Abdominal Injuries / Q000453:epidemiology; D000063:Accidents, Traffic / Q000706:statistics & numerical data; D000328:Adult; D000465:Algorithms; D000671:Amputation, Surgical; D000714:Anastomosis, Surgical; D001808:Blood Vessels / Q000293:injuries*; D005121:Extremities / Q000098:blood supply; D005260:Female; D006801:Humans; D007730:Kuwait / Q000453:epidemiology; D008297:Male; D019838:Neck Injuries / Q000453:epidemiology; D012189:Retrospective Studies; D012501:Saphenous Vein / Q000637:transplantation; D013898:Thoracic Injuries / Q000453:epidemiology; D014950:Wounds, Penetrating / Q000453:epidemiology