RESUMO
Vascular injuries and hemorrhaging are serious potential complications in the management of patients with blunt abdominal trauma. The treatment depends on the extent and localization and can range from surveillance to endovascular treatment up to open surgery. The keys to success include the focused assessment with sonography for trauma (FAST) management and timely decision making. Abdominal vascular trauma continues to be a difficult problem and open and endovascular techniques continue to evolve in order to address this complex disease process.
Assuntos
Cavidade Abdominal , Traumatismos Abdominais , Procedimentos Endovasculares , Avaliação Sonográfica Focada no Trauma , Lesões do Sistema Vascular , Ferimentos não Penetrantes , Humanos , Lesões do Sistema Vascular/diagnóstico por imagem , Lesões do Sistema Vascular/etiologia , Lesões do Sistema Vascular/cirurgia , Procedimentos Endovasculares/efeitos adversos , Traumatismos Abdominais/diagnóstico por imagem , Traumatismos Abdominais/cirurgia , Traumatismos Abdominais/etiologia , Ferimentos não Penetrantes/complicações , Ferimentos não Penetrantes/diagnóstico por imagem , Ferimentos não Penetrantes/cirurgiaRESUMO
Rupture of isolated aneurysm of common iliac artery is a relative seldom finding in vascular surgery. Nowadays are in therapy of this severe conditions used conventional as well as endovascular procedures. Our case report document, that in high risk patients with convenient anatomical conditions endovascular therapy is a safe and effective therapy, that can reduce mortality of these patients.
Assuntos
Aneurisma Roto/cirurgia , Procedimentos Endovasculares , Artéria Ilíaca , Idoso de 80 Anos ou mais , Aneurisma Roto/complicações , Aneurisma Roto/diagnóstico , Humanos , Masculino , Choque Hemorrágico/etiologiaRESUMO
Positive results of usage of sub atmospheric pressure in therapy of acute and chronic wounds in vascular patients are presented in many works of contemporary surgeons and vascular specialists. Negative pressure wound therapy (NPWT, vacuum sealing) found its broad utilization in vascular surgery. Despite the fact, that in the last years was the indication of this therapy in prevention and therapy of vascular graft infections discussed many times, are works dealing with this topic still rare. Our case document, that under certain circumstances can negative pressure wound therapy be used also in this indications. Though there were surprising results achieved in our cases, we think, that these patients after a successful NPWT need a long-term follow up. To prove the efficacy of vacuum sealing in therapy of vascular graft infections needs in our opinion further observation and studies.