دورية أكاديمية
أعرض في EDS

Recent advances and the future of abdominopelvic and lower extremity vascular injury management.

التفاصيل البيبلوغرافية
العنوان: Recent advances and the future of abdominopelvic and lower extremity vascular injury management.
المؤلفون: Kabeil M; Vascular Surgery Division, University of Colorado, Anschutz Medical Campus, 12631 E 17th Avenue, Room 5409, Aurora, CO 80045., Kauvar DS; Vascular Surgery Division, Denver Health Medical Center, Denver, CO., Bennett L; Vascular Surgery Division, Denver Health Medical Center, Denver, CO., Wohlauer MV; Vascular Surgery Division, University of Colorado, Anschutz Medical Campus, 12631 E 17th Avenue, Room 5409, Aurora, CO 80045. Electronic address: max.wohlauer@cuanschutz.edu.
المصدر: Seminars in vascular surgery [Semin Vasc Surg] 2023 Jun; Vol. 36 (2), pp. 268-282. Date of Electronic Publication: 2023 Apr 07.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: W.B. Saunders Country of Publication: United States NLM ID: 8809602 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1558-4518 (Electronic) Linking ISSN: 08957967 NLM ISO Abbreviation: Semin Vasc Surg Subsets: MEDLINE
أسماء مطبوعة: Publication: Philadelphia Pa : W.B. Saunders
Original Publication: [Philadelphia, PA] : W.B. Saunders Co., [c1988-
مواضيع طبية MeSH: Vascular System Injuries*/diagnostic imaging , Vascular System Injuries*/etiology , Vascular System Injuries*/surgery , Leg Injuries* , Endovascular Procedures*/adverse effects, Humans ; Angiography ; Lower Extremity/blood supply ; Retrospective Studies
مستخلص: Despite advances in open and endovascular management of trauma, vascular injuries remain a source of devastating outcomes. This narrative review of the literature between 2018 and 2023 explored recent advances in abdominopelvic and lower extremity vascular injury management. New conduit choices, use of temporary intravascular shunts, and advances in endovascular management of vascular trauma were reviewed. Although endovascular techniques are being applied more frequently, there is a paucity of reporting on long-term outcomes. Open surgery is durable and effective and remains the gold standard for repairing most abdominal, pelvic, and lower extremity vascular injuries. Vascular reconstruction conduit options are currently limited to the autologous vein, prosthetic grafts, and cryopreserved cadaveric xenografts; each type has its own application challenges. The temporary intravascular shunts can be used to restore early perfusion to ischemic limbs and increase the chances of limb salvage, or when transfer of care is needed. Resuscitative balloon occlusion of the inferior vena cava has been a research-heavy topic to investigate the possible implications in patients with trauma. Early diagnosis, appropriate use of technology, and time-sensitive management can make all the difference in the lives of patients with vascular trauma. Endovascular management of vascular trauma is evolving and gaining wider acceptance for treatment of vascular injuries. Computed tomography angiography is widely available and is the current gold standard for diagnosis. Autologous vein remains the gold standard for conduit with the future promise of new innovative conduits. Vascular surgeons have an important role in vascular trauma management.
(Copyright © 2023. Published by Elsevier Inc.)
فهرسة مساهمة: Keywords: Abdomen; Endovascular managment; Lower extremity; Pelvis; Vascular trauma
تواريخ الأحداث: Date Created: 20230617 Date Completed: 20230619 Latest Revision: 20230619
رمز التحديث: 20231215
DOI: 10.1053/j.semvascsurg.2023.03.005
PMID: 37330240
قاعدة البيانات: MEDLINE
الوصف
تدمد:1558-4518
DOI:10.1053/j.semvascsurg.2023.03.005