Iatrogenic vascular injuries in Sweden. A nationwide study 1987-2005
2008 (English)In: European Journal of Vascular and Endovascular Surgery, ISSN 1078-5884, E-ISSN 1532-2165, Vol. 35, no 2, 131-138 p.Article in journal (Refereed) Published
Objectives. To study the epidemiology of vascular injuries, with special focus on Iatrogenic Vascular Injuries (IVIs) and time-trends.
Design and methods. From the Swedish national vascular registry, Swedvasc, prospectively registered data on vascular injuries during 1987-2005 were analysed and cross-referenced for mortality against the population registry.
Results. Of 1853 injuries, 48% were caused by iatrogenic, 29% penetrating and 23% blunt trauma. In the three groups median age was 68, 35 and 40 years, respectively. The annual incidence of procedures for vascular injuries increased from 1.2-1.6 per 100 000 inhabitants and the proportion of IVIs increased from 41 to 51%, during the period. Mortality was higher after IVI (4.9%) compared to non-IVI (2.5%). Patients with IVI also had more co-morbidities; 58% cardiac disease, 44% hypertension, and 18% renal dysfunction.
Among 888 IVIs, right femoral arterial injury was the most frequent (37%). The most common vascular reconstruction was direct suture (39%) followed by by-pass or interposition graft (19%, of which prosthetics were used in over half the cases). Endovascular repair increased from 4.6% to 15% between 1987 and 2005.
Conclusions. Vascular injuries, in particular iatrogenic ones, appear to be increasing. Iatrogenic injuries affect vulnerable patients with co-morbidities and are associated with a high mortality.
Place, publisher, year, edition, pages
2008. Vol. 35, no 2, 131-138 p.
iatrogenic, vascular injury, arterial injury, vascular trauma
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:uu:diva-16609DOI: 10.1016/j.ejvs.2007.09.010ISI: 000253380400002PubMedID: 17996467OAI: oai:DiVA.org:uu-16609DiVA: diva2:44380