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Vasc Endovascular Surg. 2013 Jul;47(5):325-30. doi: 10.1177/1538574413487260. Epub 2013 May 6.

Characterization and outcomes of iliac vessel injury in the 21st century: a review of the National Trauma Data Bank.

Author information

1
Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston, MA 02118, USA.

Abstract

INTRODUCTION:

Iliac vessel trauma (IVT) is traditionally associated with high mortality. We evaluated a modern series of patients with IVT to assess current outcomes and endovascular therapy use.

METHODS:

We performed a retrospective review of the National Trauma Data Bank. Patients with IVT were stratified by blunt and penetrating mechanism and arterial and venous injury.

RESULTS:

In blunt IVT, there was no significant difference in mortality between those with and without pelvic fractures (odds ratio [OR] 0.61, 95% confidence interval [CI] 0.36-1.06). In penetrating IVT, combined arterial and venous IVT was associated with higher mortality (OR 1.70, 95% CI 1.06-2.70) compared to isolated arterial IVT. Isolated venous IVT was associated with lower mortality (OR 0.55, 95% CI 0.35-0.85) compared to isolated arterial IVT. Endovascular stenting was utilized in 11.3% of blunt IVT with pelvic fractures, 6.3% of blunt IVT without pelvic fractures, and 1.8% of penetrating IVT.

CONCLUSION:

Iliac Vessel Trauma has significant mortality. Endovascular intervention for IVT is applied sparingly.

KEYWORDS:

iliac artery; iliac vein; vascular trauma

PMID:
23651699
DOI:
10.1177/1538574413487260
[Indexed for MEDLINE]

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