Resumo

ESPINOZA, Eduardo  e  CASTANEDA, Enrique. Clinical features of peripheral vascular trauma in patients attending a general hospital in Lima, Peru. Rev Med Hered [online]. 2014, vol.25, n.3, pp.122-128. ISSN 1018-130X.

Objective: To describe the distribution, mechanisms, treatment and clinical evolution of patients with peripheral vascular trauma attended at a general hospital. Methods: Retrospective study among patients admitted to HNCH between 2010 and 2012.The information was gathered from clinical charts. Results: A total of 46 patients were included; 55 vascular lesions were observed, of which 43 involved arteries and 12 involved veins. The most frequent mechanism of injury was gunshot (43.5%), the most frequent reason was aggression (57%). Of all arterial lesions, 27 were on upper limbs and 16 in the lower limbs. The most frequent type of lesion was complete section (61%), and the most frequent treatment was saphenous vein graft in the sectioned arteries in 40%. A total of 12 vein lesions were observed, half of them in each upper and lower limbs; complete section was the most common lesion (59%), and ligation was the repair method more used. Out of 30 patients who suffered arterial lesions and were treated promptly, 14 had no functional limitation, 13 had some degree of limitation and 3 were amputated. Conclusions: Peripheral vascular trauma is a frequent condition, its causes and type of lesions are similar as described in the literature. Prompt initiation of treatment reduces the degree of functional limitation.

Palavras-chave : Vascular injuries; peripheral artery disease; extremities.

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