Asfar S, Al-Ali J, Safar H, Al-Bader M, Farid E, Ali A, Kansou J. 155 vascular injuries: a retrospective study in Kuwait, 1992-2000.
THE EUROPEAN JOURNAL OF SURGERY = ACTA CHIRURGICA 2003;
168:626-30. [PMID:
12699100 DOI:
10.1080/11024150201680010]
[Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
OBJECTIVES
To audit the management of vascular trauma in Kuwait, 1992-2000.
DESIGN
Retrospective open study.
SETTING
Vascular surgery unit, teaching hospital, Kuwait.
SUBJECTS
155 patients with vascular injuries, most of which (n = 118) involved the extremities. 21 had neck injuries, 10 abdominal, and 6 chest.
INTERVENTION
Revascularisation usually using the long saphenous vein in addition to direct repair or end-to-end anastomosis.
MAIN OUTCOME
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.
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