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A decade of managing pediatric major traumatic vascular injuries: insights from a referral center

Purpose Incidence, management, and outcomes of pediatric vascular injuries secondary to non-iatrogenic trauma were reviewed over a decade in our institution. Methods a retrospective review of medical records (2013–2022) of major traumatic vascular injuries, focusing on injury profiles, treatment mod...

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Main Authors: Ab. Rahman, Norhafiza, von Delft, Dirk, Numanoglu, Alp, Mohammad Aidid, Edre, Arnold, Marion
Format: Article
Language:English
English
Published: Springer Science and Business Media Deutschland GmbH 2024
Subjects:
R Medicine (General)
RD Surgery
RD93 Emergency Surgery. Wounds and Injuries
RJ101 Child Heatlh. Child health services. Preventive health services for children
Online Access:http://irep.iium.edu.my/115904/15/115904_A%20decade%20of%20managing%20pediatric%20major%20traumatic%20vascular.pdf
http://irep.iium.edu.my/115904/16/115904_A%20decade%20of%20managing%20pediatric%20major%20traumatic%20vascular_scopus.pdf
http://irep.iium.edu.my/115904/
https://rdcu.be/d0ady
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spelling my.iium.irep.1159042024-11-25T23:32:01Z http://irep.iium.edu.my/115904/ A decade of managing pediatric major traumatic vascular injuries: insights from a referral center Ab. Rahman, Norhafiza von Delft, Dirk Numanoglu, Alp Mohammad Aidid, Edre Arnold, Marion R Medicine (General) RD Surgery RD93 Emergency Surgery. Wounds and Injuries RJ101 Child Heatlh. Child health services. Preventive health services for children Purpose Incidence, management, and outcomes of pediatric vascular injuries secondary to non-iatrogenic trauma were reviewed over a decade in our institution. Methods a retrospective review of medical records (2013–2022) of major traumatic vascular injuries, focusing on injury profiles, treatment modalities, and clinical outcomes. Results thirty patients with 48 vessel injuries were included. Firearms were the leading mechanism, accounting for 43.3% (n = 13) of cases. We identified 29 arterial injuries and 19 venous injuries, with 30 (62.5%) of the overall injuries occurred in the lower extremities. Shock (17; 56.7%) and associated injuries (25; 83.3%) were common. Surgery was the most common management strategy. Autologous bypass graft was the most frequently performed procedure for arterial injuries (8; 42.1%), while ligation dominated in venous injuries (9; 64.3%). Blood transfusion requirements (24; 82.7%) and post-operative pre-scription of anticoagulant and antiplatelet agents (12; 41.4%) were similar for arterial and venous injuries (p > 0.05). Three patients demised, resulting in a 90% survival rate. Neither the mechanism of injury, anatomical location, and presence of shock on arrival nor the baseline hemoglobin level served as predictors of mortality. Conclusion intensive resuscitation with blood transfusion and prompt surgical intervention achieve favorable survival rates for pediatric traumatic vascular injuries. Optimal post-operative anticoagulant and antiplatelet regimens remain unclear. Springer Science and Business Media Deutschland GmbH 2024-11-13 Article PeerReviewed application/pdf en http://irep.iium.edu.my/115904/15/115904_A%20decade%20of%20managing%20pediatric%20major%20traumatic%20vascular.pdf application/pdf en http://irep.iium.edu.my/115904/16/115904_A%20decade%20of%20managing%20pediatric%20major%20traumatic%20vascular_scopus.pdf Ab. Rahman, Norhafiza and von Delft, Dirk and Numanoglu, Alp and Mohammad Aidid, Edre and Arnold, Marion (2024) A decade of managing pediatric major traumatic vascular injuries: insights from a referral center. Pediatric Surgery International, 40 (1). pp. 1-9. ISSN 0179-0358 E-ISSN 1437-9813 https://rdcu.be/d0ady 10.1007/s00383-024-05887-7
institution Universiti Islam Antarabangsa Malaysia
building IIUM Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider International Islamic University Malaysia
content_source IIUM Repository (IREP)
url_provider http://irep.iium.edu.my/
language English
English
topic R Medicine (General)
RD Surgery
RD93 Emergency Surgery. Wounds and Injuries
RJ101 Child Heatlh. Child health services. Preventive health services for children
spellingShingle R Medicine (General)
RD Surgery
RD93 Emergency Surgery. Wounds and Injuries
RJ101 Child Heatlh. Child health services. Preventive health services for children
Ab. Rahman, Norhafiza
von Delft, Dirk
Numanoglu, Alp
Mohammad Aidid, Edre
Arnold, Marion
A decade of managing pediatric major traumatic vascular injuries: insights from a referral center
description Purpose Incidence, management, and outcomes of pediatric vascular injuries secondary to non-iatrogenic trauma were reviewed over a decade in our institution. Methods a retrospective review of medical records (2013–2022) of major traumatic vascular injuries, focusing on injury profiles, treatment modalities, and clinical outcomes. Results thirty patients with 48 vessel injuries were included. Firearms were the leading mechanism, accounting for 43.3% (n = 13) of cases. We identified 29 arterial injuries and 19 venous injuries, with 30 (62.5%) of the overall injuries occurred in the lower extremities. Shock (17; 56.7%) and associated injuries (25; 83.3%) were common. Surgery was the most common management strategy. Autologous bypass graft was the most frequently performed procedure for arterial injuries (8; 42.1%), while ligation dominated in venous injuries (9; 64.3%). Blood transfusion requirements (24; 82.7%) and post-operative pre-scription of anticoagulant and antiplatelet agents (12; 41.4%) were similar for arterial and venous injuries (p > 0.05). Three patients demised, resulting in a 90% survival rate. Neither the mechanism of injury, anatomical location, and presence of shock on arrival nor the baseline hemoglobin level served as predictors of mortality. Conclusion intensive resuscitation with blood transfusion and prompt surgical intervention achieve favorable survival rates for pediatric traumatic vascular injuries. Optimal post-operative anticoagulant and antiplatelet regimens remain unclear.
format Article
author Ab. Rahman, Norhafiza
von Delft, Dirk
Numanoglu, Alp
Mohammad Aidid, Edre
Arnold, Marion
author_facet Ab. Rahman, Norhafiza
von Delft, Dirk
Numanoglu, Alp
Mohammad Aidid, Edre
Arnold, Marion
author_sort Ab. Rahman, Norhafiza
title A decade of managing pediatric major traumatic vascular injuries: insights from a referral center
title_short A decade of managing pediatric major traumatic vascular injuries: insights from a referral center
title_full A decade of managing pediatric major traumatic vascular injuries: insights from a referral center
title_fullStr A decade of managing pediatric major traumatic vascular injuries: insights from a referral center
title_full_unstemmed A decade of managing pediatric major traumatic vascular injuries: insights from a referral center
title_sort decade of managing pediatric major traumatic vascular injuries: insights from a referral center
publisher Springer Science and Business Media Deutschland GmbH
publishDate 2024
url http://irep.iium.edu.my/115904/15/115904_A%20decade%20of%20managing%20pediatric%20major%20traumatic%20vascular.pdf
http://irep.iium.edu.my/115904/16/115904_A%20decade%20of%20managing%20pediatric%20major%20traumatic%20vascular_scopus.pdf
http://irep.iium.edu.my/115904/
https://rdcu.be/d0ady
_version_ 1817841050688946176
score 13.223943

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