A decade of managing pediatric major traumatic vascular injuries: insights from a referral center
Topic overview
This 10-year retrospective study of 30 pediatric patients with major traumatic vascular injuries found firearms as the leading cause, with lower extremity vessels most commonly affected. Surgical intervention with autologous bypass for arterial injuries and aggressive resuscitation achieved 90% survival, though optimal post-operative anticoagulation protocols remain undefined.
Key takeaways
- Firearms caused 43% of pediatric vascular injuries; lower extremities were most affected (62.5% of injuries).
- Autologous bypass graft was preferred for arterial injuries (42%), while venous injuries were primarily managed with ligation (64%).
- Aggressive resuscitation and prompt surgery achieved 90% survival despite 57% presenting in shock and 83% having associated injuries.
- Blood transfusion was required in 83% of cases; post-op anticoagulation/antiplatelet use (41%) lacks standardized protocols.
- Mechanism of injury, anatomical location, shock on arrival, and hemoglobin level did not predict mortality in this cohort.
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How to cite: GlobalCastMD. A decade of managing pediatric major traumatic vascular injuries: insights from a referral center. GlobalCastMD Medical Library. 2024-11-13. https://dev.library.globalcastmd.com/article/9420?via_space=staycurrentmd
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