Abstract
Background
Pediatric truncal vascular injuries occur infrequently and have a reported mortality
rate of 30% to 50%. This report examines the demographics, mechanisms of injury, associated
trauma, and outcome of patients presenting for the past 10 years at a single institution
with truncal vascular injuries.
Methods
A retrospective review (1997-2006) of a pediatric trauma registry at a single institution
was undertaken.
Results
Seventy-five truncal vascular injuries occurred in 57 patients (age, 12 ± 3 years);
the injury mechanisms were penetrating in 37%. Concomitant injuries occurred with
76%, 62%, and 43% of abdominal, thoracic, and neck vascular injuries, respectively.
Nonvascular complications occurred more frequently in patients with abdominal vascular
injuries who were hemodynamically unstable on presentation. All patients with thoracic
vascular injuries presenting with hemodynamic instability died. In patients with neck
vascular injuries, 1 of 2 patients who were hemodynamically unstable died, compared
to 1 of 12 patients who died in those who presented hemodynamically stable. Overall
survival was 75%.
Conclusions
Survival and complications of pediatric truncal vascular injury are related to hemodynamic
status at the time of presentation. Associated injuries are higher with trauma involving
the abdomen.
Key words
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Article info
Publication history
Accepted:
January 5,
2009
Received in revised form:
January 5,
2009
Received:
November 10,
2008
Identification
Copyright
© 2009 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
