Secondary and Late Repair in Arterial Injury
Emergency reconstruction after arterial injury has shown sufficiently good results because many of these patients are young without degenerative lesions in their arteries. The prognosis is less favorable if the reconstruction is delayed. This possibly may occur if there is no experience in vascular surgery at the place of primary treatment or if the diagnosis of vascular injury was overlooked. Another group of patients with arterial trauma requires late repair as well because the reconstruction performed primarily has failed. In both groups of patients either secondary or late arterial reconstruction is often possible because according to the arterial segment in some patients, collaterals develop sufficiently to prevent necrosis of organs or extremities. Those patients suffer from intermittent claudication, traumatic arteriovenous (AV) fistula, or aneurysms and require reconstructive vascular surgery.
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