Blunt injury to the common iliac artery
| Autor: | X. Papon, J.D. Singland, F. Villapadierna, J.J. Tuech, Vergos M, P Pessaux |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male Reoperation medicine.medical_specialty Adolescent Autogenous graft Wounds Nonpenetrating Asymptomatic Iliac Artery Veins Lesion Blood Vessel Prosthesis Implantation Blunt Postoperative Complications medicine.artery medicine Humans Polytetrafluoroethylene Medicine(all) Iliac artery business.industry Angiography Extraperitoneal approach Common iliac artery Surgery Blunt trauma Radiology medicine.symptom Cardiology and Cardiovascular Medicine business |
| Zdroj: | European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery. 20(1) |
| ISSN: | 1078-5884 |
| Popis: | Objectives and design iliac artery lesion after blunt trauma is uncommon, with only 12 previously reported cases. We report nine patients treated in two French teaching hospitals over a six-year period. Mechanism, symptomatology, treatment and outcome were analysed. Material and method all patients were male with a mean (range) age of 29 (16–43) years. Median delay to operative repair was 15 days. Through an extraperitoneal approach PTFE grafts were used in five cases and autogenous graft in four. Results morbidity was 22%. Reoperation was necessary in two cases at a mean follow-up of 48 months, at which time all patients were asymptomatic with normal pulses. Conclusion clinicians should be alert to the possibility of this injury. An arteriography for Doppler ultrasound should be performed. Treatment is mainly surgical and produces excellent long-term results. |
| Databáze: | OpenAIRE |
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