Iliac vessel injuries: Difficult injuries and difficult management problems

M. Ksycki, G. Ruiz, A. J. Perez-Alonso, J. D. Sciarretta, R. Gonzalo, E. Iglesias, A. Gigena, T. Vu, J. A. Asensio

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Introduction: Injury to the iliac vessels poses a serious and frustrating treatment dilemma for all trauma surgeons. Generally, patients present in profound shock secondary to severe hemorrhage from either iliac arterial, venous, or combined injuries. Despite improvements in our emergency medical services (EMS), rapid transport, standard training of trauma surgeons, and improved technology, the morbidity and mortality from iliac vessel injuries remain high, ranging from 25 to 40 %. Materials and methods: A systematic review of the literature, with emphasis placed on the diagnosis, treatment, and outcomes of these injuries, incorporating the author's experience. Conclusions: Injuries to the iliac vessel remain a daunting task, even after great advances in anatomic injury grading and damage control as well as advances in surgical techniques and critical care. Despite all the advances in treatment and appropriate management strategies, the morbidity and mortality from iliac vessel injuries remain high, demonstrating the complex challenge their treatment presents to even the modern-day trauma surgeon.

Original languageEnglish (US)
Pages (from-to)347-357
Number of pages11
JournalEuropean Journal of Trauma and Emergency Surgery
Volume38
Issue number4
DOIs
StatePublished - Sep 1 2012

Keywords

  • Abdominal trauma
  • Pelvic trauma
  • Vascular trauma

ASJC Scopus subject areas

  • Surgery
  • Emergency Medicine
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine

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    Ksycki, M., Ruiz, G., Perez-Alonso, A. J., Sciarretta, J. D., Gonzalo, R., Iglesias, E., Gigena, A., Vu, T., & Asensio, J. A. (2012). Iliac vessel injuries: Difficult injuries and difficult management problems. European Journal of Trauma and Emergency Surgery, 38(4), 347-357. https://doi.org/10.1007/s00068-012-0189-7