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Vascular Injuries

Vascular injuries, penetrating and blunt, are increasing in the modern world. Whereas penetrating injuries are common in wartime, most blunt injuries are road traffic accidents. All regions, including extremities, thoracic and abdominal cavities and the brain can be involved. Major problem is exsanguination with rapid decease of the injured person. Apart from this, injuries can lead to vascular occlusion with consecutive ischemia of the distal region. Depending of the region the ischemia is more or less serious. Whereas ischemia time for the extremities is about six hours, other organs like bowel, kidneys and brain have shorter tolerances. The most important in finding diagnosis is to be aware of vascular injuries. Years ago the gold standard was angiography. Nowadays where minimal invasive treatments are more and more increasing and the technique is improving, the contrast enhanced CT becomes the gold standard. It offers not only direct visualization of the bleeding and co-injured organs, but also gives the opportunity to plan the endovascular procedure. Alexander Oberhuber, Vascular Injuries in the Modern Era
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Last date updated on June, 2014