Evaluation of results of vascular intervention on arterial blunt trauma of distal of lower extremity (below trifurcation) in Golestan Hospital Ahvaz Vascular Trauma Center.

Nazari, Iraj; Mousavi, Seyed Masood; Dastyar , Ali Asghar; Sherafatmand , Shaghayegh; Saeidi, Ali

Volume 82, Issue 8 (November 2024) Tehran Univ Med J 2024, 82(8): 611-619 | Back to browse issues page

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Nazari I, Mousavi S M, Dastyar A A, Sherafatmand S, Saeidi A. Evaluation of results of vascular intervention on arterial blunt trauma of distal of lower extremity (below trifurcation) in Golestan Hospital Ahvaz Vascular Trauma Center.. Tehran Univ Med J 2024; 82 (8) :611-619
URL: http://tumj.tums.ac.ir/article-1-13304-en.html

Evaluation of results of vascular intervention on arterial blunt trauma of distal of lower extremity (below trifurcation) in Golestan Hospital Ahvaz Vascular Trauma Center.

Iraj Nazari ^*¹

, Seyed Masood Mousavi¹

, Ali Asghar Dastyar¹

, Shaghayegh Sherafatmand¹

, Ali Saeidi¹

1- Department of General Surgery, Faculty of Medicien, Jundishapur University of Medical Sciences, Ahvaz, Iran.

Abstract: (925 Views)

Background: Vascular trauma is a life-threatening emergency and the third leading cause of death worldwide. Due to the frequency and importance of distal lower extremity artery injury in lower extremity trauma, the present study aimed to investigate the outcomes of vascular surgical interventions in patients with non-penetrating arterial trauma of the distal lower extremity (sub-trifurcation).
Methods: In this retrospective study, trauma patients with suspected non-penetrating injuries of the lower extremity arteries (sub-trifurcation) who referred to the Vascular Surgery Center of Golestan Hospital, Ahvaz, between September 2021 to September 2023 were evaluated. Data included demographic information, duration of surgery, length of hospitalization, and side effects of surgery.

Results: Of the total of 86 patients, 76 patients (88.4%) were treated with open surgery. 83.7% of patients (72) were male and in the age range of 30-35 years. The most common surgical method used was bi-artery repair (92.3%). The most complications were in the bi-artery bypass repair method, but only the results of nerve involvement and limb preservation in the Ligation repair or bypass two artery intervention showed a statistically significant difference in the first week after surgery (P=0.05). Among patients, only two cases of mortality were observed one week after surgery, which was in the bi-artery repair group. (5.1%). The bi-artery repair intervention method was the best and least complicated surgical method among patients with vascular injury under blunt trauma.
Conclusion: According to the results of this study, the bi-artery repair intervention method had the lowest rate of other complications and was the best and least complicated surgical method among patients with vascular injury under blunt trauma.

Keywords: endovascular procedures, vascular surgical procedures, wounds nonpenetrating.

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Type of Study: Original Article |