Research Information System
Turkiye Klinikleri Cardiovascular Sciences, vol.32, no.2, pp.53-58, 2020 (Scopus)
Objective: Vascular injuries in children carry high importance, as they can cause serious complications, such as a developmental disoders of limbs in the long term. In this article, we aimed to share the treatment methods and results we used in childhood vascular injuries. Material and Methods: 32 patients who underwent operation depending on pediatric vascular injury were examined retrospectively. 30 (93.75%) patients were male and 2 (6.25%) patients were female. Mean age was 11.2. Vasculary injuries were due to penetrating trauma in 18 (56.2%) patients, firearm injury in 9 (28.1%) patients and secondary to trauma in 5 (15.6%) patients. End to end repair was performed in 3 patients, patch plasty was performed in 1 patient and vein interposition was performed in 2 patients in upper extremity. In lower extremity, 18 patients underwent end to end repair, 4 patients underwent vein interposition, 2 patients underwent patch plasty and 2 patients underwent primary repair. Results: In one patient who underwent primary repair in radial artery, non-ischemic occlusion was detected in 1 month. Pseudoaneurysm developed in one patient with patch plasty and in one patient with primary repair in the lower extremity. In one patient with isolated popliteal artery injury and end-to-end repair,deep venous thrombosis was detected in popliteal vein after 1 month and medically treated. Wound infection was observed in one patient with a history of drug use. Conclusion: Increased arterial injuries in childhood should be revascularized with the most accurate surgical method and, if necessary, with the right graft selection, and it should not be overlooked that the growth and development continue especially in early childhood group.