Vascular trauma: A review of 250 cases☆

Abstract Two hundred fifty vascular injuries of all types seen at the University of Texas Medical Branch, Galveston, Texas during the period from January 1960 through January 1970 have been reviewed. Methods of evaluation and management of the primary injury are discussed along with the complications. The mortality was 2.4 per cent (6 deaths) in this series and two-thirds (four deaths) were in the group in which treatment was delayed. Emphasis is placed on immediate exploration of all penetrating wounds in the region of major vessels. Early recognition and prompt repair of the vascular injury is paramount for reduced morbidity and mortality. Twenty-six cases of delayed vascular injury are reviewed. Also, twenty-five cases of iatrogenic vascular injury are reviewed and their management is discussed. The management of special and difficult problems is briefly illustrated.