Abstract:
Abstract:Objective：To summarize our experience in the prevention and treatment of iatrogenic vascular trauma. Methods：The clinical data of 24 different types of iatrogenic vascular trauma committed from 2003 to 2006 were retrospectively analyzed. Results：The 24 cases included 7 cases of superior mesenteric arteriovenous trauma, 3 cases of portal venous trauma,4 cases of carotid arterial trauma,6 cases of iliac and femoral arterial trauma, and each one of trauma of popliteal artery ,axillary artery, renal artery, left gastric artery, respectively. Treated method: Six cases underwent vascular repair, 5 cases had vascular anastomosis, 2 cases had vascular replacement, 3 cases had vascular ligation,2 cases had covered stent implantation under intervention, and other methods included thrombectomy, thrombolysis and packing. Among the 24 cases,22 were cured completely, one patient died from massive hemorrhage 24 hours after operation, and the other died 5 days after operation. Conclusions：Iatrogenic vascular trauma can be prevented and its incidence reduced by increased vigilance, clear identification of the anatomy, and accurate and careful operation. Once iatrogenic vascular trauma has occurred, its cause must be determined and then different treatment methods can be chosen, based on the cicumstaces. When effective treatment technique is not at hand, one should promptly seek outside support or transfer the patient to an advanced hostipal.
