TITLE:
Vascular Trauma Registry Analysis in Sulaimani Province of Southern Kurdistan
AUTHORS:
Aram Baram, Fahmi H. Kakamad, Warzer F. Shali, Rebwar Sayed-Nouri
KEYWORDS:
Peripheral Vascular Trauma, Hard Signs, Soft Signs, Long-Term Outcome, Surgical Effect, Complications
JOURNAL NAME:
Surgical Science,
Vol.6 No.8,
August
11,
2015
ABSTRACT: Background: Vascular injury presents a great challenge to the trauma and
vascular surgeons because it needs urgent diagnosis and intervention. Aims: Prospective
cohort study is to determine management and outcome of peripheral vascular
injuries in a tertiary centre with very poor facilities. Methods: Analysis of
peripheral vascular injuries during August 2013 to August 2014. Results: Total
of 47 patients (3.4%) from 1377 total trauma admissions had vascular injuries.
Penetrating trauma was present in 93.6% of cases. Brachial artery injury was
the highest (31.9%), followed by superficial femoral and popliteal arteries
(each with 17% incidence). Vein injury occurred in 61.7% of cases. End-to-end
anastomosis performed in 76.6% of cases; arterial ligation was done in 14.9% of
cases; venous graft was harvested in 6.4% of cases; and arterial wall was
repaired in 2.1% of cases. Conclusions: Early intervention is the most
important determinant factor of outcome.