title: Characteristics and treatment of vascular injuries: a review of 387 cases at a Chinese center.
abstract: OBJECTIVE
  To assess clinical characteristics and treatment outcomes of patients with vascular injuries.
  
  
  METHODS
  We retrospectively reviewed the medical records of 378 consecutive patients with vascular injuries treated at our hospital from January 2000 to December 2012. Basic characteristics (such as gender; age; cause, site, and type of injury; and concomitant injuries) were recorded, and efficacy was compared between treatments for same type/site injuries.
  
  
  RESULTS
  Vascular injuries occurred most frequently in patients aged 19-50 years, secondary to trauma, and in extremities (73%, 63%, and 84% of cases, respectively), particularly lower ones. Amputation was more common in popliteal artery injury (52.6% of cases); overall, inappropriate diagnosis or treatment or poor vascular anastomosis led to amputation in 17 cases. Extremity vascular patency, while comparable at 12 months, was significantly lower at 24 months after artificial blood-vessel implantation than autogenous vein grafting. Treatment of femoral artery pseudoaneurysm secondary to drug abuse yielded similar amputation but significantly lower limb ischemia rates after bypass graft surgery than arterial ligation.
  
  
  CONCLUSIONS
  Initial and temporal outcome differentiation reported here for treatments for peripheral vascular injuries according to type and site underscores the importance of further defining treatment choice consequences, particularly long term ones because most affected patients are aged 19-50 years old.
authors: Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University Chongqing 400016, China.
authors: Zhui
authors: Z
authors: Li
authors: Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University Chongqing 400016, China.
authors: Liang
authors: L
authors: Zhao
authors: Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University Chongqing 400016, China.
authors: Kaizhen
authors: K
authors: Wang
authors: Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University Chongqing 400016, China.
authors: Jun
authors: J
authors: Cheng
authors: Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University Chongqing 400016, China.
authors: Yu
authors: Y
authors: Zhao
authors: Department of Vascular Surgery, The First Affiliated Hospital of Chongqing Medical University Chongqing 400016, China.
authors: Wei
authors: W
authors: Ren
keywords: Vascular injury; epidemiology; interventional therapy; open surgery