Traumatic penetrating arteriovenous fistulas: a collective review
| العنوان: | Traumatic penetrating arteriovenous fistulas: a collective review |
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| المؤلفون: | Tharun R. Kotaru, John J. Kessler, Juan A. Asensio, Stephanie S. Miljkovic, Devendra K. Agrawal, Parinaz J. Dabestani, Florian A. Wenzl, Louay D. Kalamchi |
| المصدر: | European Journal of Trauma and Emergency Surgery. 48:775-789 |
| بيانات النشر: | Springer Science and Business Media LLC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | 030222 orthopedics, medicine.medical_specialty, Sports medicine, medicine.diagnostic_test, business.industry, Fistula, Vertebral artery, Femoral vein, Arteriovenous fistula, 030208 emergency & critical care medicine, Critical Care and Intensive Care Medicine, medicine.disease, Surgery, 03 medical and health sciences, 0302 clinical medicine, Blunt, medicine.artery, Angiography, Emergency Medicine, medicine, Orthopedics and Sports Medicine, cardiovascular diseases, business, Penetrating trauma |
| الوصف: | Traumatic penetrating arteriovenous fistulas (AVFs) are very rare. The majority of these injuries occur secondary to penetrating trauma. Objectives of this study: review their incidence, clinical presentation, radiologic identification, management, complications and outcomes. A literature search was performed on MEDLINE Complete-Pubmed from 1829–2019. PRISMA guidelines were utilized. Of 305 potentially eligible articles, 201 articles were selected. Inclusion criteria: patients age ≥ 18, articles with title and abstract in English, AVFs secondary to penetrating trauma, articles which specified vessels involved in AVFs, and those reporting complete information on patient presentation, diagnosis, imaging, surgical and/or endovascular surgical management, and outcomes of penetrating AVF’s. Exclusion criteria: articles reporting blunt or iatrogenic AVFs, pediatric patients, fistulas used for dialysis and their complications, articles lacking complete information, cranial/spinal AVFs or cardiac AVFs, and duplicate articles. Mechanism of injury (MOI), diagnosis, involved vessels, management and outcomes of patients with AVFs secondary to penetrating trauma were recorded. There were a total of 291 patients with AVFs secondary to penetrating injuries. Mechanism of injury (MOI): stab wounds (SW)—126 (43.3%), Gunshot wounds (GSW)—94 (32.3%), miscellaneous—35 (12%), mechanism unspecified—36 (12.4%). Anatomic area: neck—69 (23.7%) patients, thorax—46 (15.8%), abdomen—87 (30%), upper and lower extremities—89 (30.6%). Most commonly involved vessels—vertebral artery—38 (13%), popliteal vein—32 (11.7%). Angiography was diagnostic—265 patients (91.1%). Interventions: Surgical– 202 (59.6%), Endovascular—118 (34.8%). Associated: aneurysms/pseudoaneurysms—129 (44.3%). Most AVFs occur secondary to penetrating injuries. Stab wounds account for the majority of these injuries. Most frequently injured vessels are vertebral artery and superficial femoral vein. Surgical interventions are the most common mode of management followed by endovascular surgical techniques. |
| تدمد: | 1863-9941 1863-9933 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::d5c84079e19df7b436e9420fe8cbf4d1Test https://doi.org/10.1007/s00068-020-01574-zTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........d5c84079e19df7b436e9420fe8cbf4d1 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 18639941 18639933 |
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