[Extremity vascular traumas].
OBJECTIVE
The Authors report on a series of 61 vascular traumas treated over a 7 years, separated in two groups. The first one includes 35 cases, that are street accidents, on the work and gunshot wounds. The second group includes 26 iatrogenic causes due to arterial catheterism.


METHODS
All patients underwent ecocolor Doppler directly in the operating theatre and, when this diagnostic procedure was not enough, pre-operating angiography was used (10 cases of complex traumas of the lower limb).


RESULTS
One death was reported far each groups (3.27%). In 55 cases (90.1%), limb savage was achieved. In the others 4 (6.93%) of the first group, limb demolition was necessary for different causes. In the first group, severe neurological sequelaes were observed in 2 cases and motor deficits caused by tendon lesions in 1 case.


CONCLUSIONS
The good results obtained are the result of the short ischemic interval between the acute event and treatment, thanks to a multidisciplinary approach of a specific equipe, that is rapid as possible.
Angelini
Romeo
R
U.O. di Chirurgia Vascolare, Ospedale Clinicizzato SS Annunziata, Chieti.
Rutolo
Ferdinando
F
Cozzolino
Giuseppe
G
D'Amario
Vanessa
V
Spigonardo
Francesca
F
D000062:Accidents, Occupational; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000368:Aged; D001134:Arm Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D001808:Blood Vessels / Q000293:injuries*; D002648:Child; D005260:Female; D005543:Forearm Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007869:Leg Injuries / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014656:Vascular Surgical Procedures; D014948:Wounds, Gunshot / Q000601:surgery