Abstract
Vascular and endovascular complications encompass a wide range of conditions with vessel injury and infection being common areas for surgical intervention. This chapter describes the treatment strategies for several important vascular and endovascular complications including: hemorrhage in the retroperitoneum, neck, and groin; pseudoaneurysms; aortoenteric fistulae; and infected lower extremity bypass grafts. Although primary management principles of Advanced Trauma Life Support (ATLS) and infection control still apply, advances in endovascular therapy have introduced new treatment options for the conditions addressed in this chapter.
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References
Chan YC, Morales JP, Reidy JF, Taylor PR. Management of spontaneous and iatrogenic retroperitoneal haemorrhage: conservative management, endovascular intervention or open surgery? Int J Clin Pract. 2008;62:1604–13.
Farouque HM, Tremmel JA, Raissi Shabari F, et al. Risk factors for the development of etroperitoneal hematoma after percutaneous coronary intervention in the era of glycoprotein IIb/IIIa inhibitors and vascular closure devices. J Am Coll Cardiol. 2005;45:363–8.
Parmer SS, Carpenter JP, Fairman RM, Velazquez OC, Mitchell ME. Femoral neuropathy following retroperitoneal hemorrhage: case series and review of the literature. Ann Vasc Surg. 2006;20:536–40.
Cox N. Managing the femoral artery in coronary angiography. Heart Lung Circ. 2008;17 Suppl 4:S65–9.
Farrelly C, Fidelman N, Durack JC, Hagiwara E, Kerlan RK. Transcatheter arterial embolization of spontaneous life-threatening extraperitoneal hemorrhage. J Vasc Interv Radiol. 2011;22:1396–402.
Burgess CA, Dale OT, Almeyda R, Corbridge RJ. An evidence based review of the assessment and management of penetrating neck trauma. Clin Otolaryngol. 2012;37:44–52.
Biffl WL, Cothren CC, Moore EE, Kozar R, Cocanour C, Davis JW, McIntyre RC. Western Trauma Association critical decisions in trauma: screening for and treatment of blunt cerebrovascular injuries. J Trauma. 2009;67:1150–3.
Cohen J, Rad I. Contemporary management of carotid blowout. Curr Opin Otolaryngol Head Neck Surg. 2004;12:110–5.
Powitzky R, Vasan N, Krempl G, Medina J. Carotid blowout in patients with head and neck cancer. Ann Otol Rhinol Laryngol. 2010;19:476–84.
Kesser BW, Chance E, Kleiner D, et al. Contemporary management of penetrating neck trauma. Am Surg. 2009;75:1–10.
American College of Surgeons Committee on Trauma. ATLS student course manual. Chicago: American College of Surgeons; 2008.
McConnell DB, Trunkey DD. Management of penetrating trauma to the neck. Adv Surg. 1994;27:97–127.
Fox CJ, Gillespie DL, Weber MA, et al. Delayed evaluation of combat-related penetrating neck trauma. J Vasc Surg. 2006;44:86–93.
Arthurs ZM, Sohn VY, Starnes BW. Vascular trauma: endovascular management and techniques. Surg Clin North Am. 2007;87:1179–92.
Das R, Ahmed K, Athanasiou T, Morgan RA, Belli AM. Arterial closure devices versus manual compression for femoral haemostasis in interventional radiological procedures: a systematic review and meta-analysis. Cardiovasc Intervent Radiol. 2011;34:723–38.
Hafez HM, Woolgar J, Robbs JV. Lower extremity arterial injury: results of 550 cases and review of risk factors associated with limb loss. J Vasc Surg. 2001;33:1212–9.
Kronzon I. Diagnosis and treatment of iatrogenic femoral artery pseudoaneurysm: a review. J Am Soc Echocardiogr. 1997;10:236–45.
Ahmad F, Turner SA, Torrie P, Gibson M. Iatrogenic femoral artery pseudoaneurysms–a review of current methods of diagnosis and treatment. Clin Radiol. 2008;63:1310–6.
Tisi PV, Callam MJ. Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev. 2009;(2):CD004981.
Toursarkissian B, Allen BT, Petrinec D, et al. Spontaneous closure of selected iatrogenic pseudoaneurysms and arteriovenous fistulae. J Vasc Surg. 1997;25:803–8.
Weinmann EE, Chayen D, Kobzantzev ZV, Zaretsky M, Bass A. Treatment of postcatherization false aneurysms: ultrasound-guided compression vs. ultrasound-guided thrombin injection. Eur J Vasc Endovasc Surg. 2002;23:68–72.
Ranasinghe W, Loa J, Allaf N, Lewis K, Sebastian MG. Primary aortoenteric fistulae: the challenges in diagnosis and review of treatment. Ann Vasc Surg. 2011;25:386–90.
Chiesa R, Astore D, Frigerio S, Garriboli L, Piccolo G, Castellano R, Scalamogna M, Odero A, Pirrelli S, Biasi G, Mingazzini P, Biglioli P, Polvani G, Guarino A, Agrifoglio G, Tori A, Spina G. Vascular prosthetic graft infection: epidemiology, bacteriology, pathogenesis and treatment. Acta Chir Belg. 2002;102:238–47.
Vollmar JF, Kogel H. Aorto-enteric fistulas as postoperative complication. J Cardiovasc Surg (Torino). 1987;28:479–84.
Armstrong PA, Back MR, Wilson JS, Shames ML, Johnson BL, Bandyk DF. Improved outcomes in the recent management of secondary aortoenteric fistula. J Vasc Surg. 2005;42:660–6.
Kashyap VS, O’Hara PJ. Local complications: aortoenteric fistulae. In: Cronenwett JL, Johnston KW, editors. Rutherford’s Vascular surgery. 7th ed. Philadelphia: Elsevier; 2010.
Saers SJ, Schelting MR. Primary aortoenteric fistula. Br J Surg. 2005;92:143–52.
Seeger JM. Management of patients with prosthetic vascular graft infection. Am Surg. 2000;66(2):166–77.
Koshiko S, Sasajima T, Muraki S, et al. Limitations in the use of rifampicin-gelatin grafts against virulent organisms. J Vasc Surg. 2002;35:779.
Kieffer E, Gomes D, Chiche L, et al. Allograft replacement for infrarenal aortic graft infection: early and late results in 179 patients. J Vasc Surg. 2004;39:1009.
Beck AW, Murphy EH, Hocking JA, et al. Aortic reconstruction with femoro-popliteal vein: graft stenosis incidence, risk and reintervention. J Vasc Surg. 2008;47:36.
El Sakka K, Halawa M, Kotze C, et al. Complications of open abdominal aortic surgery: the endovascular solution. Interact Cardiovasc Thorac Surg. 2008;7:121.
Danneels M, Verhagen H, Teijink J, et al. Endovascular repair for aorto-enteric fistula: a bridge too far or a bridge to surgery. Eur J Vasc Endovasc Surg. 2006;32:27.
Szilagyi DE, Smith RF, Elliott JP, Vrandecic MP. Infection in arterial reconstruction with synthetic grafts. Ann Surg. 1972;176:321–23.
Dosluoglu HH, Curl GR, Doerr RJ, et al. Stent-related iliac artery and iliac vein infections: two unreported presentations and review of the literature. J Endovasc Ther. 2001;8:202.
Siracuse JJ, Nandivada P, Giles KA, Hamden AD, Wyers MC, Chaikof EL, Pomposelli FB, Schermerhorn ML. Prosthetic graft infections involving the femoral artery. J Vasc Surg. 2013;57:700–5.
Stone PA, Armstrong PA, Bandyk DF, Brumberg RS, Flaherty SK, Back MR, Shames ML. Use of antibiotic-loaded polymethylmethacrylate beads for the treatment of extracavitary prosthetic vascular graft infections. J Vasc Surg. 2006;44:757–61.
Dosluoglu H, Schimpf D, Schultz R, Cherr G. Preservation of infected and exposed vascular grafts using vacuum assisted closure without muscle flap coverage. J Vasc Surg. 2005;42:989–92.
Sumpio BE, Allie DE, Horvath KA, Marston WA, Meitsell HL, Mills JLR, Orgill DP, Salazar JD, Song DH, Toursarkissian B. Role of negative pressure wound therapy in treating peripheral vascular graft infections. Vascular. 2008;16:194–200.
Mertens RA, O’Hara PJ, Hertzer NR, Krajewski LP, Beven EG. Surgical management of infrainguinal arterial prosthetic graft infections: review of a thirty-five year experience. J Vasc Surg. 1995;21:782–91.
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Davies, M.G. (2015). Surgical and Endovascular Complications: Infection and Hemorrhage. In: Gahtan, V., Costanza, M. (eds) Essentials of Vascular Surgery for the General Surgeon. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1326-8_23
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DOI: https://doi.org/10.1007/978-1-4939-1326-8_23
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