Traumatismos vasculares periféricos

Abstract

302

The frequency of vascular injuries in civilian life has increased greatly.  This is due to more traffic, labour and domestic accidents, the increase  of violence in our society and the increasing number of iatrogenic  vascular complications. The objectives of this study were to  review the diagnosis and treatment of patients who sustained vascular  injuries in the extremities.  

The most important steps in the management of vascular injuries are:  1. Control of haemorrhage and treatment of shock. 2. Early recognition  and prompt treatment. 3. Complete restoration of arterial flow  during the initial procedure. 4. Resection of damaged tissue with endto-  end anastomosis or saphenous vein grafting. 5. Liberal employment  of heparin. 6. Fogarty catheter thrombectomy. 7. Repair of associate  venous injuries. 8. Soft tissue coverage of the site of arterial  repair. 9. Use of completion arteriography. 10. Fasciotomy used liberally  but selectively. 11. Management of associated injuries.  In contaminated wound the most important principles in prevention  of infections are: adequate debridement, copious irrigation and delayed  closure of the wound.  

Keywords

Vascular trauma, Arterial injury