title: Peripheral vascular injuries due to blunt trauma (road traffic accident): management and outcome.
abstract: BACKGROUND
  The present study was undertaken to analyze the pattern, presentation and management of peripheral vascular injuries due to road traffic accidents (RTA).
  
  
  METHODS
  A prospective study of patients of peripheral vascular injuries due to road traffic accidents (RTA) between Jan. 2007 to Dec. 2011. A total of 192 patients presented with peripheral vascular injuries due to RTA during this period. All patients with vascular injury due to other causes were excluded from study.
  
  
  RESULTS
  Most of the patients were managed by reverse saphenous vein graft followed by end to end anastomosis. Most of the patients had associated long bone fractures. Delayed presentation and associated long bone fractures had bad effect on outcome. Wound infection and thrombosis of the graft were the most important complication. Amputation rate was 4.68%.
  
  
  CONCLUSIONS
  Vascular injury due to RTA requires prompt recognition and referral to a vascular center. Immediate revascularization has excellent results and less morbidity. Proper clinical examination and hand held Doppler examination are enough to reach the diagnosis.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, SKIMS, Soura, India. latifs_dr@yahoo.com
authors.forename: Mohd Lateef
authors.initials: ML
authors.lastname: Wani
authors.forename: Ab Gani
authors.initials: AG
authors.lastname: Ahangar
authors.forename: Shadab Nabi
authors.initials: SN
authors.lastname: Wani
authors.forename: Ab Majeed
authors.initials: AM
authors.lastname: Dar
authors.forename: Farooq Ahmad
authors.initials: FA
authors.lastname: Ganie
authors.forename: Shyam
authors.initials: S
authors.lastname: Singh
authors.forename: Reyaz Ahmad
authors.initials: RA
authors.lastname: Lone
authors.forename: Nasir
authors.initials: N
authors.lastname: ud din Wani
mesh_terms: D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical / Q000379:methods; D005260:Female; D050723:Fractures, Bone / Q000601:surgery; D006801:Humans; D023821:Limb Salvage; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D016896:Treatment Outcome; D058017:Vascular Grafting / Q000379:methods; D057772:Vascular System Injuries / Q000601:surgery*; D014949:Wounds, Nonpenetrating / Q000601:surgery*