Overview of Vascular Trauma

摘要: Penetrating trauma to the neck is divided by zones, and involvement of common carotid or internal arteries can lead stroke death; blunt cerebrovascular affects less than 1 % all patients but a high rate death as penetrating trauma. Optimal management these injuries depends on extent injury vessel that affected, both open surgical endovascular options are available. thoracic vasculature rapidly fatal in most circumstances; arch descending aorta increasingly managed using intravascular ultrasound stent graft placement. Major abdominal found one seven with gunshot wound abdomen, variety techniques be used treat depending particular site overall patient condition. Peripheral artery often treated placement covered bypass autogenous conduit. Venous more difficult manage due difficulty exposure dissection necessary achieve proximal distal control, simple ligation appropriate course action damage control surgery. An appreciation arterial venous may help guide care polytrauma multidisciplinary environment.