Iatrogenic and Noniatrogenic Arterial Trauma: A Comparative Study – Commentary

Συντάχθηκε από:

Αναστάσιος Λιάτας, MD, F.I.C.A. – Διευθυντής Χειρουργός

A C Liatas, MD, F.I.C.A. – Consultant Surgeon

Athens  General  Hospital  » EVAGELISMOS «

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Purpose of study

This study compared patients with iatrogenic and noniatrogenic arterial injuries.

Conclusion

Retrospective assessment of the appropriateness of technique, made separately by two vascular surgeons, revealed instances of potentially avoidable iatrogenic arterial injury. The increasing incidence of iatrogenic arterial trauma may therefore be considered reducible.

Commentary

The paper states the expected conclusions: that iatrogenic injuries increase with the incidence of invasive procedures, that such injuries are nearly always related to the catheterization site and that in them thrombosis is a more frequent complication than hemorrhage. The noniatrogenic injuries (blunt trauma, motor vehicle accident and knife and gun injuries) had a predictably higher rate of associated and postoperative complications. The 14% mortality rate reported in the iatrogenic group is nearly 4-10 fold that reported in larger reviews. These results may be biased by the relatively few cases included in this report. – Ramon Berguer; Detroit

Δημοσίευση Άρθρου

Το πλήρες άρθρο έχει δημοσιευτεί στο:  [International Vascular Surgery 1991; 1:92-93]

Αρχείο Άρθρου

Για το πλήρες άρθρο «Iatrogenic and Noniatrogenic Arterial Trauma…» πατήστε:  Εδώ (.pdf αρχείο).