Citation

Lauerman MH, Rybin D, Doros G, Kalish J, Hamburg NM, Eberhardt RT, Farber A. Vasc. Endovascular. Surg. 2013; 47(5): 325-330.

Affiliation

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

Copyright

(Copyright © 2013, SAGE Publishing)

DOI

10.1177/1538574413487260

PMID

23651699

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.

Language: en