Major vascular traumas to the neck, upper limbs, and chest: Clinical presentation, diagnostic approach, and management strategies.
Semin Vasc Surg
; 36(2): 258-267, 2023 Jun.
Article
en En
| MEDLINE
| ID: mdl-37330239
Major vascular traumas to the neck, upper limbs, and chest may arise from penetrating and/or blunt mechanisms, resulting in a range of clinical scenarios. Lesions to the carotid arteries may also lead to neurologic complications, such as stroke. The increasing use of invasive arterial access for diagnostic and/or interventional purposes has increased the rate of iatrogenic injuries, which usually occur in older and hospitalized patients. Bleeding control and restoration of perfusion represent the two main goals of treatment for vascular traumatic lesions. Open surgery still represents the gold standard for most lesions, although endovascular approaches have increasingly emerged as feasible and effective options, particularly for management of subclavian and aortic injuries. In addition to advanced imaging (including ultrasound, contrast-enhanced cross-sectional imaging, and arteriography) and life support measures, multidisciplinary care is required, particularly in the setting of concomitant injuries to the bones, soft tissues, or other vital organs. Modern vascular surgeons should be familiar with the whole armamentarium of open and endovascular techniques needed to manage major vascular traumas safely and promptly.
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Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Lesiones del Sistema Vascular
/
Procedimientos Endovasculares
Tipo de estudio:
Diagnostic_studies
/
Etiology_studies
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Observational_studies
Idioma:
En
Revista:
Semin Vasc Surg
Asunto de la revista:
ANGIOLOGIA
Año:
2023
Tipo del documento:
Article