Comparison of Contralateral vs Ipsilateral Vein Graft for Traumatic Vascular Injury Repair: A Cohort From PROOVIT.

Autor:	Siddiqi N; Department of Surgery, The University of Alabama at Birmingham Hospital, Birmingham, AL, USA., Lammers D; Department of Surgery, The University of Alabama at Birmingham Hospital, Birmingham, AL, USA., Hu P; Department of Surgery, Chippenham Hospital, Richmond, VA, USA., Stonko D; Department of Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA., DuBose J; Department of Surgery and Perioperative Care, The University of Texas at Austin Dell Medical School, Austin, TX, USA., Hurst S; Department of Surgery, The University of Alabama at Birmingham Hospital, Birmingham, AL, USA., Hashmi Z; Department of Surgery, The University of Alabama at Birmingham Hospital, Birmingham, AL, USA., Morrison J; Department of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN, USA., Betzold R; Department of Surgery, The University of Alabama at Birmingham Hospital, Birmingham, AL, USA.
Jazyk:	angličtina
Zdroj:	The American surgeon [Am Surg] 2024 Sep; Vol. 90 (9), pp. 2310-2313. Date of Electronic Publication: 2024 Apr 15.
DOI:	10.1177/00031348241246167
Abstrakt:	Traumatic injury leading to arterial damage has traditionally been repaired using autologous vein graft from the contralateral limb. This often requires a secondary surgical site and the potential of prolonged operative time for patients. We sought to assess the use of ipsilateral vs contralateral vein grafts in patients who experienced traumatic extremity vascular injury. A multicenter database was queried to identify arterial injuries requiring operative intervention with vein grafting. The primary outcome of interest was need for operative reintervention. Secondary outcomes included risk of thrombosis, infection, and intensive care unit length of stay. 358 patients (320 contralateral and 38 ipsilateral) were included in the analysis. The ipsilateral vein cohort did not display a statistically significant decrease in need for reoperation when compared to the contralateral group (11% vs 23%; OR 0.41, 95% CI -0.07-1.3; P = .14). Contralateral repair was associated with longer median intensive care unit (ICU) LOS (4.3 vs 3.1 days; P < .01). Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu