This is a retrospective study of 173 patients with gunshot injuries of the major arteries of the extremities.
A selective policy for the use of angiography was followed.
The arterial repair was achieved by various means : primary end-to-end anastomosis, vein interposition graft, and polytetrafluoroethylene (Teflon) interposition grafts.
Overall, there were nine amputations in the lower limb.
Ninety-eight percent of the patients had a palpable pulse on discharge.
There were 3 preoperative deaths, 1 intraoperative death, and 5 postoperative deaths (overall perioperative mortality, 3.5%). We conclude that the results of vascular extremity gunshot injuries are satisfactory when standard methods of management are used.
Morbidity and mortality can be further reduced by prompt admission to appropriate centers.
Mots-clés Pascal : Traumatisme, Appareil circulatoire pathologie, Peau pathologie, Membre supérieur, Membre inférieur, Diagnostic, Epidémiologie, Traitement, Homme, Plaie pénétrante, Artère, Arme à feu, République Sud Africaine, Afrique, Artère pathologie, Vaisseau sanguin pathologie
Mots-clés Pascal anglais : Trauma, Cardiovascular disease, Skin disease, Upper limb, Lower limb, Diagnosis, Epidemiology, Treatment, Human, Penetrating injury, Artery, Fire arm, South Africa, Africa, Arterial disease, Vascular disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0000395
Code Inist : 002B16I. Création : 01/03/1996.