[Iatrogenic vascular injuries].
Seventy-eight iatrogenic vascular injuries were studied from 1970 to 2003. The sex ratio was close to 1, and the mean age was 45.7 +/- 24.9 years. The injuries mainly involved the femoral vessels in the inguinal region, and occurred during radiological investigations, endovascular surgery, or emergency resuscitation. The symptoms were acute (hemorrhagic or ischaemic) in half the cases and subacute or chronic in the other cases. Arterial repair was possible in 76% of cases. There were four deaths (5%). The combined morbidity and mortality rate was 20%, reflecting the severity of the lesions. The frequency of iatrogenic vascular injuries varied according to the type of medical or surgical procedure: laparoscopic surgery and arthroscopic surgery of the knee were especially at risk. Late diagnosis was a gravity factor. Repair of the injured vessel is always preferable.
Lacombe
Michel
M
Service de chirurgie vasculaire, Hôpital Beaujon, 92118 Clichy.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001182:Arthroscopy / Q000009:adverse effects; D001808:Blood Vessels / Q000293:injuries*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000209:etiology; D006801:Humans; D007049:Iatrogenic Disease; D007511:Ischemia / Q000209:etiology; D010535:Laparoscopy / Q000009:adverse effects; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged