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首页> 外文期刊>Vascular and endovascular surgery >Iatrogenic Vascular Injuries of the Abdomen and Pelvis: The Experience at a Hellenic University Hospital
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Iatrogenic Vascular Injuries of the Abdomen and Pelvis: The Experience at a Hellenic University Hospital

机译：腹部和骨盆的性能血管损伤：Hellenic大学医院的经验

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Background: The aim of this study is to present the experience of a Vascular Division at a Hellenic University hospital concerning the management of iatrogenic vascular injuries (IVIs) of the abdomen or pelvis. Patients and Methods: This is a retrospective study evaluating all IVIs reported during a 10-year period in our institution. Only injuries warranting a vascular surgeon consultation were included in the study. Non-iatrogenic injuries were not included. Mortality and major complications within 30 days were evaluated. Results: Overall, 70 cases were recorded, with 41% being venous and 59% being arterial injuries. Iliac arteries (51%) were the most common location and rupture/lacerations (73%) were the most common type of injury. General surgery (61.5%) and cardiology (30%) procedures were the most frequently involved procedures. A 30-day mortality was 5.7%, with 30% of cases treated conservatively. Synthetic bypass grafting (odds ratio [OR] = 65.0; 95% confidence interval [CI], 4.022-1050.358; P = .003) and male gender (OR = 83.77; 95% CI, 4.040-1736.738; P = .004) were associated with death. Conclusions: Iatrogenic vascular injuries of the abdomen or pelvis are usually associated with general surgery and endovascular procedures. When vascular consultation is requested early, mortality could remain low. However, a selected number of stable patients with retroperitoneal or pelvic hematomas could be treated conservatively, yielding satisfying results.
机译：背景：本研究的目的是在希腊大学医院展示血管分裂的经验，了解腹部或骨盆的理性血管损伤（IVIS）。患者和方法：这是一种回顾性研究，评估在我们机构10年期间报告的所有IVIS。只有需要伤害血管外科医生咨询的伤害被纳入该研究。不包括非认可损伤。评估死亡率和30天内的主要并发症。结果：总体而言，记录了70例，41％是静脉，59％是动脉损伤。髂动脉（51％）是最常见的位置，破裂/撕裂（73％）是最常见的伤害类型。一般手术（61.5％）和心脏病学（30％）程序是最常见的程序。 30天的死亡率为5.7％，30％的病例保守治疗。合成旁路接枝（差距[或] = 65.0; 95％置信区间[CI]，4.022-1050.358; p = .003）和男性性别（或= 83.77; 95％CI，4.040-1736.738; p = .004）与死亡有关。结论：腹部或骨盆的发育血管损伤通常与普通手术和血管内手术有关。当早期要求血管咨询时，死亡率可能保持低位。然而，可以保守屈服，屈服于令人满意的稳定患者的稳定患者。

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