Document Detail


Inadvertent arterial injury secondary to treatment of venous insufficiency.
MedLine Citation:
PMID:  17382056     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Arterial injury during treatment of varicose veins is a rare but devastating complication that can lead to leg amputation. Approximately 6,000 patients were treated by either surgery (4,800 patients treated by ligation, stripping, and stub avulsion) or ultrasound-guided foam sclerotherapy (USGS) (1,200 patients) in the last 7 years for venous insufficiency at three medical centers. Six patients (0.1%) sustained inadvertent arterial injury. The incidence of arterial injury during surgery was 0.06% (3 of 4,800) and was of a mechanical nature amenable to repair. None of these patients had tissue loss. The injury during USGS (0.25%, 3 of 1,200) was of a chemical and irreversible nature. All three patients suffered tissue loss. In our experience, the incidence of arterial injuries during USGS is four times higher than during traditional surgery and carries a much higher risk of tissue loss. Although experience, technical skill, and awareness of this complication help reduce the incidence of arterial injury during surgery, they seem to offer no protection during USGS. Careful mapping of the arterial venous communications and avoidance of high-risk zones will help prevent this complication.
Authors:
Samy S Nitecki; Arie Bass
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Vascular     Volume:  15     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2007 Jan-Feb
Date Detail:
Created Date:  2007-03-26     Completed Date:  2007-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  49-52     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery and Transplantation, Rambam Medical Center, Technion, Haifa 36091, Israel. s_nitecki@rambam.health.gov.il
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Arteries / injuries*,  surgery
Female
Femoral Artery / injuries,  surgery
Humans
Male
Medical Errors
Middle Aged
Postoperative Complications / etiology*
Sclerotherapy / adverse effects,  methods
Toes / blood supply
Treatment Outcome
Varicose Veins / surgery*
Venous Insufficiency / surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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