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Arterial injury notes, Study Guides, Projects, Research of Medical Sciences

King George's Medical UniversityMedical Sciences

Arterial injury, including its aetiology, pathological types, complications, and clinical picture. It also outlines methods of arterial repair, such as transverse tears, end-to-end anastomosis, and vein patch grafts. The document emphasizes the importance of restoring normal tissue perfusion within 6-8 hours and clearing the proximal and distal segments of clots. It also covers arterial spasm and contusion, as well as the repair of injured main veins. The document concludes with a discussion of fracture reduction and fixation.

Typology: Study Guides, Projects, Research

2022/2023

Available from 02/06/2023

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Arterial injury * Aetiology: 1) Open injuries: Due to stab or bullets. 2) Closed injury: e Road traffic accidents usually affect thoracic or abdominal aorta e Fracture, plaster cast or tourniquet compression. 3) latrogenic injury: during operation, angiography,cardiac catheterization or endovascular therapy . * Pathological types : 1) Arterial tear which may be complete or partial. e Complete tear : ( transaction ) =The transected ends retract , conistrict and thrombosed —+ acute ischemia . e Partial tear : = Retraction of elastic coats —> widening of the tear > bleeding which may result in one of the followings : > Life threatening hemorrhage in case of external , intra-pleural or intra-peritoneal hemorrhage . > Pulsating hematoma which later on form false traumatic aneurysm. = Injury to adjacent artery & veins > arterio-venous fistula . Types of Vascular Injury