Document Detail

Iatrogenic and noniatrogenic arterial trauma: a comparative study.
MedLine Citation:
PMID:  1675876     Owner:  NLM     Status:  MEDLINE    
During a 6-year period 22 patients were operated on because of iatrogenic arterial trauma (group A) and 43 sustained noniatrogenic arterial injury (group B). The group A injuries were caused by various arterial catheterization procedures for angiography or cardiac investigation (55%) or surgical interventions (45%). Haemorrhage was more common in group B than in group A (p less than 0.001). The mortality rate did not differ significantly between the groups (14% vs. 9%). Permanent disability was more common in group B (p less than 0.05), due mainly to higher incidence of associated venous, neural, skeletal or visceral injuries. Bypass operations tended to be more often performed in group B than in group A, but the difference was not statistically significant. Retrospective assessment of the appropriateness of technique, made separately by two vascular surgeons, revealed instances of potentially avoidable iatrogenic arterial injury. The rising incidence of iatrogenic arterial trauma may therefore be considered 'reducible'.
M K Lazarides; D P Arvanitis; A C Liatas; J N Dayantas
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  The European journal of surgery = Acta chirurgica     Volume:  157     ISSN:  1102-4151     ISO Abbreviation:  Eur J Surg     Publication Date:  1991 Jan 
Date Detail:
Created Date:  1991-08-01     Completed Date:  1991-08-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9105264     Medline TA:  Eur J Surg     Country:  SWEDEN    
Other Details:
Languages:  eng     Pagination:  17-20     Citation Subset:  IM    
Department of Vascular Surgery, Athens General Hospital, Greece.
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MeSH Terms
Aged, 80 and over
Arteries / injuries*
Greece / epidemiology
Heart Catheterization / adverse effects
Iatrogenic Disease / epidemiology*
Middle Aged
Postoperative Complications / epidemiology
Punctures / adverse effects
Vascular Surgical Procedures
Wounds, Gunshot / epidemiology
Wounds, Nonpenetrating / epidemiology
Wounds, Penetrating / epidemiology

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