Skip to main content

Traumatic Arterial Disease

  • Chapter
Diseases of the Arterial Wall

Abstract

Most arterial injuries are due to direct trauma. Advances in the surgical repair of these injuries are due primarily to surgical experience acquired during war [19,43,71]. The destructiveness of weapons used in recent military conflicts, in particular in the war in Vietnam [39,67] accounts for the wide variety of lesions encountered. In hospital practice [6,10,22,42,48,60] certain invasive diagnostic procedures, used for vascular imaging, [29,31,47] or even to repair damaged arteries [11,16,52,53,64] may be responsible for iatrogenic lesions. The pathologist often must examine specimens of arterial resection collected during the surgical repair of an artery. His task thus involves not only confirming the traumatic nature of the lesion but also detecting whether or not the artery is the site of occult lesions, a finding of considerable interest in forensic medicine [64,65].

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Abela GS, Normann S, Cohen D et al. (1982) Effects of carbon dioxide, Nd-YAG and argon laser radiation on coronary atheromatous plaques. Am J Cardiol 50:1199–1205

    Article  PubMed  CAS  Google Scholar 

  2. Amato JJ, Rich NM, Billy LJ et al. (1971) High-velocity arterial injury. A study of the mechanism of injury. J Trauma 11:412–416

    Article  PubMed  CAS  Google Scholar 

  3. Banis JC, Rich N, Wheelan TJ (1977) Ischemia of the upper extremity due to noncardiac emboli. Am J Surg 134:131–139

    Article  PubMed  Google Scholar 

  4. Becquemin JP, Benhaim-Sigaux N, Melliere D (1986) Effets du laser sur les plaques d’athérome: aspects actuels et perspectives d’avenir. In: Meyet Ph, Gilbert JC (eds) Les médicaments de l’athérosclérose. Masson, Paris, pp 188–198

    Google Scholar 

  5. Beguin JM, Poilvache G, Van Meerbeeck J et al. (1985) Lesions de la main par injection sous haute pression. Apport de l’anesthérie loco-régionale. Ann Chir Main 4:37–42

    Article  PubMed  CAS  Google Scholar 

  6. Bergqvist D, Erikson U, Grevsten S (1972) False aneurysm in the deep femoral artery as a complication of osteosynthesis of intertrochanteric fracture. Acta Chir Scand 138:630–632

    PubMed  CAS  Google Scholar 

  7. Bigot JM, Mathieu D, Reizine D (1983) Les artéri- opathies radiques. Ann Med Interne (Paris) 134:411–415

    CAS  Google Scholar 

  8. Bjorkerud S, Bondjers G (1973) Arterial reparation and atherosclerosis after mechanical injury. Part 5. Tissue response after induction of a large superficial transverse injury. Atherosclerosis 18:235–255

    Article  PubMed  CAS  Google Scholar 

  9. Bole PV, Hintz G, Chander P et al. (1975) Bilateral carotid aneurysms secondary to radiation therapy. Ann Surg 181: 888–892

    Article  PubMed  CAS  Google Scholar 

  10. Bole PV, Purdy RT, Munda RT et al. (1976) Civilian arterial injuries. Ann Surg 183:13–23

    Article  PubMed  CAS  Google Scholar 

  11. Boontje ABH (1978) Iatrogenic arterial injuries. J Cardiovasc Surg 19:335–340

    CAS  Google Scholar 

  12. Choy SDJ, Stertzer SH, Rotterdam HZ et al. (1982) Transluminal laser catheter angioplasty. Am J Cardiol 50:1206–1208

    Article  PubMed  CAS  Google Scholar 

  13. Clark DE, Georgitis JW, Ray FS (1981) Renal arterial injuries caused by blunt trauma. Surgery 90:87–96

    PubMed  CAS  Google Scholar 

  14. Cormier JM, Florent J (1967) Les hématomes rétro- péritonéaux par blessures des vaisseaux iliaques au cours des fractures du bassin. Mem Acad Chir (Paris) 93:458–462

    CAS  Google Scholar 

  15. Cormier JM, Moulonguet A, Diebold J et al. (1972) Hématome disséquant du tronc coeliaque et des artères rénales et mésentérique supérieure. Nouv Presse Med 1:113–116

    Google Scholar 

  16. Cormier JM, Sautot J, Frileux CI (1977) Artères-veines- lymphatiques. In: Patel J, Léger L, Patel JC (eds) Nouveau traité de techniques chirurgicales, vol 4. Masson, Paris

    Google Scholar 

  17. Craig EV (1984) A new high-pressure injection injury of the hand. J Hand Surg 9A:240–242

    Google Scholar 

  18. David D, Blumenberg RM (1970) Subintimal aortic dissection with occlusion after blunt abdominal trauma. Arch Surg 100:302–304

    PubMed  CAS  Google Scholar 

  19. De Bakey ME, Simeone FA (1946) Battle injuries of the arteries in World War II: an analysis of 2,471 cases. Ann Surg 123:534–579

    Article  Google Scholar 

  20. De Haven H (1942) Mechanical analysis of survival in fall from heights of fifty to one hundred and fifty feet. War Medicine 2:586–596

    Google Scholar 

  21. Derobert L (1937) Les projectiles migrateurs intra- vasculaires. A propos de leur mode de pénétration. Strasbourg Méd 25:455–457

    Google Scholar 

  22. Drapanas T, Hewitt RL, Weichert RF et al. (1970) Civilian vascular injuries: a critical appraisal of three decades of management. Ann Surg 172:351–360

    Article  PubMed  CAS  Google Scholar 

  23. Elerding SC, Fernandez RN, Grotta JC et al. (1981) Carotid artery disease following external cervical irradiation. Ann Surg 194:609–615

    Article  PubMed  CAS  Google Scholar 

  24. Elliot JA (1956) Acute arterial occlusion: an unusual case. Surgery 39: 825–826

    PubMed  CAS  Google Scholar 

  25. Fajardo LF, Lee A (1975) Rupture of major vessels after radiation. Cancer 36:904–913

    Article  PubMed  CAS  Google Scholar 

  26. Fiessinger JN, Sautarel E, Chousterman M et al. (1974) Le syndrome des vibrations Arch Mal Prof Med Trav Sécur Soc 35:901–905

    Google Scholar 

  27. Fonkalsrud EW, Sanchez M, Zerubavel R et al. (1977) Serial changes in arterial structure following radiation therapy. Surg Gynecol Obstet 145:395–400

    PubMed  CAS  Google Scholar 

  28. Geschwind H, Vieilledent C, Boussignac G et al. (1985) Traitement des artériopathies des membres inférieurs par laser. Angéiologie (Paris) 37:51–55

    Google Scholar 

  29. Greenfield LJ (1984) Complications in surgery and trauma. Lippincott, Philadelphia

    Google Scholar 

  30. Guerriero WC, Carlton CE, Scott R et al. (1971) Renal pedicle injuries. J Trauma 11:53–62

    Article  PubMed  CAS  Google Scholar 

  31. Haimovici H (1982) Vascular emergencies. Appleton- Century-Crofts, New York

    Google Scholar 

  32. Hall R (1971) Vascular injuries resulting from arterial puncture or catheterization. Br J Surg 58:513–516

    Article  PubMed  CAS  Google Scholar 

  33. Hare RR, Gaspar MR (1971) The intimal flap. Arch Surg 102:552–555

    PubMed  CAS  Google Scholar 

  34. Hasleton PS, Carr N, Schofield PF (1985) Vascular changes in radiation bowel disease. Histopathology 9:517–534

    Article  PubMed  CAS  Google Scholar 

  35. Haudenschild CC, Schwartz SM (1979) Endothelial regeneration. II. Restitution of endothelial continuity. Lab Invest 41:407–418

    PubMed  CAS  Google Scholar 

  36. Hayward RH (1972) Arteriosclerosis induced by radiation. Surg Clin North Am 52:359–366

    PubMed  CAS  Google Scholar 

  37. Hegarty MM, Angorn IB, Gollogly J et al. (1975) Traumatic arteriovenous fistulas. Injury 7:20–28

    Article  PubMed  CAS  Google Scholar 

  38. Hewitt RL, Collins DJ (1969) Acute arteriovenous fistulas in war injuries. Ann Surg 169:447–449

    Article  PubMed  CAS  Google Scholar 

  39. Hewitt RL, Collins DJ, Hamit HF (1969) Arterial injuries at a surgical hospital in Vietnam. Arch Surg 98:313–316

    Google Scholar 

  40. Hewitt RL, Smith AD, Drapanas T (1973) Acute traumatic arteriovenous fistulas. J Trauma 13:901–906

    PubMed  CAS  Google Scholar 

  41. Holin JM (1973) Aspects anatomo-pathologiques et thérapeutiques des traumatismes artériels: a propos de 90 observations. Thèse Doctorat en Médecine, Université d’Amiens

    Google Scholar 

  42. Holscher EC (1968) Vascular and visceral injuries during lumbar-disc surgery. J Bone Joint Surg [Am] 50:383–393

    CAS  Google Scholar 

  43. Hughes CW (1954) Acute vascular trauma in Korean war casualties: an analysis of 180 cases. Surg Gynecol Obstet 99:91–100

    PubMed  CAS  Google Scholar 

  44. Hunt JL, McManus WF, Haney WP et al. (1974) Vascular lesions in acute electric injuries. J Trauma 14:461–473

    Article  PubMed  CAS  Google Scholar 

  45. Hunt JL, Mason AD, Masterson TS et al. (1976) The pathophysiology of acute electric injuries. J Trauma 16:335–340

    Article  PubMed  CAS  Google Scholar 

  46. Jouglard JP, Bureau H, Tramier H et al. (1970) A propos de quatre cas de corps étrangers de la main injectés sous pression. Marseille Chir 4:411–414

    Google Scholar 

  47. Juergens JL, Pluth JR (1980) Trauma and peripheral vascular disease. In: Juerger JL, Spitell JA, Fairbairn II JF (eds) Peripheral vascular disease. Saunders, Philadelphia, pp 607–627

    Google Scholar 

  48. Kelly GL, Eiseman B (1975) Civilian vascular injuries. J Trauma 15:507–514

    Article  PubMed  CAS  Google Scholar 

  49. Krupski W, Thal ER, Gewertz BL et al. (1979) Endothelial response to venous injury. Arch Surg 114:1240–1248

    PubMed  CAS  Google Scholar 

  50. Laroche PG (1976) Traumatic vasospastic disease in chain-saw operators. Can Med Assoc J 115:1217–1220

    PubMed  CAS  Google Scholar 

  51. Leandoer JL, Tremann JA, Oishi RH et al. (1972) Bilateral renal artery thrombosis following blunt trauma: report of two cases. J Trauma 12:166–169

    Article  PubMed  CAS  Google Scholar 

  52. Liddicoat JE, Bekassy SM, Daniell MB et al. (1975) Inadvertent femoral artery “stripping”: surgical management. Surgery 77:318–320

    PubMed  CAS  Google Scholar 

  53. Litchford B, Okies JE, Sugimura S et al. (1976) Acute aortic dissection from cross-clamp injury. J Thorac Cardiovasc Surg 72:709–713

    PubMed  CAS  Google Scholar 

  54. Mackiewicz Z, Piskorz A (1977) Raynaud’s phenomenon following long-term repeated action of great differences of temperature. J Cardiovasc Surg 18:151–154

    CAS  Google Scholar 

  55. Martin E (1930) Mécanisme de la compression des carotides dans la pendaison. Ann Med Leg 10:565–567

    Google Scholar 

  56. Matthews GB, Buzzi A (1965) Acute obstruction of the external iliac artery due to circumferential intimal fracture. J Cardiovasc Surg 6:422–425

    CAS  Google Scholar 

  57. McGough EC, Helfrich LR, Hughes RK (1972) Traumatic intimal prolapse of the common carotid artery. Am J Surg 123:724–725

    Article  PubMed  CAS  Google Scholar 

  58. Mellière D, Bourgeois A, Becquemin JP et al. (1981) Les micro-embolies des membres supérieurs d’origine artérielle. Chirurgie 107:428–432

    PubMed  Google Scholar 

  59. Melliere D, Becquemin JP, Moehne M et al. (1983) Vraies et fausses artérites radiques. J Mal Vasc 8:321–327

    PubMed  CAS  Google Scholar 

  60. Moore CH, Wolma FJ, Brown RW et al. (1971) Vascular trauma. A review of 250 cases. Am J Surg 122:576–578

    Article  PubMed  CAS  Google Scholar 

  61. Moore TC (1958) Acute arterial obstruction due to traumatic circumferential intimal fracture. Ann Surg 148:111–114

    Article  PubMed  CAS  Google Scholar 

  62. Morton JR, Crawford ES (1972) Bilateral traumatic renal artery thrombosis. Ann Surg 176:62–67

    Article  PubMed  CAS  Google Scholar 

  63. Nahigian SH (1966) Airless spray gun. A new hand hazard. JAMA 195:688–691

    Article  PubMed  CAS  Google Scholar 

  64. Natali J, Benhamou AC (1979) Iatrogenic vascular injuries. A review of 125 cases (excluding angiographic injuries). J Cardiovasc Surg 20:169–176

    CAS  Google Scholar 

  65. Orcel L, Chomette G (1978) Anatomie pathologique vasculaire. In: Delarue J, Laumonier R (eds) Traité d’anatomie pathologique. Flammarion, Paris, pp 154–197b

    Google Scholar 

  66. Ouchi H, Ohara I, Kijma M (1965) Intraluminal protrusion of completely disrupted intima. An unusual form of acute arterial injury. Surgery 57:220–224

    PubMed  CAS  Google Scholar 

  67. Rich NM, Gaugh JH, Hughes CW (1969) Acute arterial injuries in Vietnam: 1,000 cases. J Trauma 10:359–368

    Article  Google Scholar 

  68. Richaud J, Lazorthes Y (1980) Pathogénie des lésions traumatiques fermées de la carotide interne du cou. Déduction thérapeutique à propos de 17 cas. J Traumatology 3:161–170

    Google Scholar 

  69. Rimpau A (1957) Etude macroscopique et histologique des orifices de ponction après artériographie cérébrale. Ann Anat Pathol (Paris) 2:227–288

    Google Scholar 

  70. Rotman M, Seidenberg B, Rubin I et al. (1969) Aortic arch syndrome secondary to radiation in childhood. Arch Int Med 124:87–90

    Article  CAS  Google Scholar 

  71. Saade B, Merhej S (1978) Traumatisme artériel. Expérience de la guerre au Liban. A propos de 83 cas. Ann Chir 32:345–348

    PubMed  CAS  Google Scholar 

  72. Sances A, Myklebust JB, Larson SJ et al. (1981) Experimental electrical injury studies. J Trauma 21:589–597

    Article  PubMed  Google Scholar 

  73. Schenk WG, Martin JW, Leslie MB et al. (1960) The regional hemodynamics of chronic experimental arteriovenous fistulas. Surg Gynecol Obstet 110:44–50

    PubMed  Google Scholar 

  74. Sethi GK, Scott SM, Takaro T (1975) False aneurysm of the abdominal aorta due to blunt trauma. Ann Surg 182:33–36

    Article  PubMed  CAS  Google Scholar 

  75. Sevitt S (1968) Fatal road accidents. Injuries complications and causes of death in 250 subjects. Br J Surg 55:481–505

    Article  PubMed  CAS  Google Scholar 

  76. Sheehan JF (1944) Foam cell plaques in the intima of irradiated small arteries. Arch Pathol Lab Med 37:297–308

    Google Scholar 

  77. Shumacker HB (1970) Aneurysm development and degenerative changes in dilated artery proximal to arteriovenous fistula. Surg Gynecol Obstet 130:636–640

    PubMed  Google Scholar 

  78. Silverberg GD, Britt RH, Don Goffinet R (1978) Radiation-induced carotid artery disease. Cancer 39:130–137

    Article  Google Scholar 

  79. Slatis P (1962) Injuries in fatal traffic accidents. An analysis of 349 medico-legal autopsies. Acta Chir Scand [Suppl] 297: 40 pp

    Google Scholar 

  80. Solem L, Fischer RP, Strate RG (1977) The natural history of electrical injury. J Trauma 17:487–491

    Article  PubMed  CAS  Google Scholar 

  81. Spears JR, Serur J, Shropshire D et al. (1983) Fluorescence of experimental atheromatous plaques with hematoporphyrin derivatives. J Clin Invest 71:395–399

    Article  PubMed  CAS  Google Scholar 

  82. Stehbens WE (1968) Blood vessel changes in chronic experimental arteriovenous fistulas. Surg Gynecol Obstet 127:327–338

    PubMed  CAS  Google Scholar 

  83. Tabbara W, Proteau J, Dumont G et al. (1962) A propos de la rupture traumatique de l’aorte. Etude anatomo- clinique de 7 nouveaux cas. Ann Med Leg 42:390–404

    PubMed  CAS  Google Scholar 

  84. Teare D (1951) Post-mortem examinations on air-crash victims. Br Med J ii:707–708

    Article  PubMed  CAS  Google Scholar 

  85. Vayssairat MP, Patri B, Guilmot JL et al. (1982) La capillaroscopie dans la maladie des vibrations. Nouv Presse Med 11:3111–3115

    PubMed  CAS  Google Scholar 

  86. Vuong NP, Baviera E, Houissa-Vuong S et al. (1984) Conisation du col utérin au laser CO2. Une étude anato- mo-pathologique des altérations tissulaires et du processus de réparation à propos de huit observations. Arch Anat Cytol Pathol 32:26–29

    Google Scholar 

  87. Vuong NP, Ecourrou J, Desoutter P et al. (1986) Faux anévrysme post-traumatique de l’artére temporale superficielle. A propos d’une observation avec revue de la littérature médicale. J Mal Vasc 11:375–378

    PubMed  CAS  Google Scholar 

  88. Vuong NP, Sebban E, Sobiak S et al. (1986) Pseudo- anévrysme traumatique de l’artère temporale super- ficielle ou complication vasculaire d’une gifle: a propos d’une observation avec revue de la littérature médicale. Sem Hôp Paris 62:2697–2703

    Google Scholar 

  89. Welsh C (1980) The effect of vibration on digital blood flow. Br J Surg 67:708–710

    Article  PubMed  CAS  Google Scholar 

  90. Wood NE, Stutzman FL (1963) Intimal separation in various arterial injuries. Angiology 14:265–267

    Article  PubMed  CAS  Google Scholar 

  91. Zhender MA (1960) The symptomatology and course of aortic rupture in closed thoracic injury based on 12 cases. Thorac Surg 8:1–46

    Article  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1989 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Vuong, P.N., Lagneau, P. (1989). Traumatic Arterial Disease. In: Camilleri, JP., Berry, C.L., Fiessinger, JN., Bariéty, J. (eds) Diseases of the Arterial Wall. Springer, London. https://doi.org/10.1007/978-1-4471-1464-2_32

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-1464-2_32

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-1466-6

  • Online ISBN: 978-1-4471-1464-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics