Trunkal Damar Yaralanmaları Tecrübelerimiz

Santral venöz sisteme bağlı gelişen yaralanmalar penetran yada iatrojenik olabilmektedir. Subclavian ve juguler yaralanmalar sıklıkla penetran travma sonucunda oluşurlar, ancak innominate-kaval yaralanmalar sıklıkla kateter nedeniyle gelişir. Kliniğimizde tedavi edilen trunkal damar yaralanmalarını gözden geçirdik.

Truncal vascular injury experiences

Injuries to the central venous system can result from penetrating trauma or iatrogenic causes. Cathater used for vascular access can be temporary or permenant. Injuries of the subclavian-jugular venous confluence results from penetrating trauma, while injuries to the innominate-caval confluence are usually catheter-related. We reviewed truncal vascular injuries who had treated in our clinic.

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  • Rao PM, Ivatury RR, Sharma P, Vinzons AT, Nassoura Z,Stahl WM. Cervical vascular injuries: a trauma center experience.Sur- gery 1993;114:527-531.
  • Degiannis E, Velmahos G, Krawczykowski D, Levy RD, Sou- ter I, Saadia R. Penetrating injuries of the subclavian vessels. Br J Surg 1994;81:524-546.
  • Demetriades D, Rabinowitz B, Pezikis A, Franklin J, Palexas G. Subclavian vascular injuries. BrJ Surg 1987;74:1001-1003. 4. Robbs JV, Reddy E. Management options for penetrating in- juries to the great veins of the neck and superior mediastinum. Surg Gynecol Obstet 1987;165:323-326.
  • Hallet JW. Iatrogenic complications of arterial and venous catheterization. In: Rutherford RB, editor. Vascular Surgery. Phi- ladelphia: W.B. Saunders Co.; 1995. p.1259-1260.
  • Messina LM, Brothers TE, Wakefield TW, et al. Clinical cha- racteristics and surgical management of vascular complications in patients undergoing cardiac catheterization: interventional ver- sus diagnostic procedures. J Vasc Surg 1991;13:593-600.
  • McGwin G Jr, Reiff DA, Moran SG, Rue LW 3rd: Incidence and characteristics of motor vehicle collision-related blunt tho- racic aortic injury according to age. J Trauma 2002;52:859-865. 8. Duntley P, Siever J, Korwes ML, Harpel K, Heffner JE. Vas- cular erosion by central venous catheters. Clinical features and outcome. Chest 1992;101:1633-1638
  • Ellis LM, Vogel SB, Copeland EM 3d. Central venous cathe- ter vascular erosions. Diagnosis and clinical course. Ann Surg 1989;209:475-478.
  • Li PK, Taylor CW 3d, Chung RS. Delayed hydrothorax: a complication of central venous catheterization. Surg Rounds 1997;20:462-468.
  • Iberti TJ, Katz LB, Reiner MA, Brownie T, Kwun KB. Hydrot- horax as a late complication of central venous indwelling cathe- ters. Surgery 1983;94:842-846.
  • Chute E, Cerra FB. Late development of hydrothorax and hydromediastinum in patients with central venous catheters. Crit Care Med 1982;10:868-869.
  • Dailey RH. Late vascular perforations by CVP catheter tips. J Emerg Med 1988;6:137-140.
  • Kapadia CB, Heard SO, Yeston NS. Delayed recognition of vascular complications caused by central venous catheters. J Clin Monit 1988;4:267-271.
  • Erentug V, Bozbuga N, Mansuroglu D, et all. Kardiyak Ka- teterizasyon Sonrası Gelişen Periferik Vasküler Yaralanmalarda Cerrahi Tedavi. Anadolu Kardiyol Derg 2003;3:216-220.
  • Adar R, Bass A, Walden R. Iatrogenic complication in surgery in a university hospital. Ann Surg 1982;196:725.
  • Lazzarides MK, Arvanitis DP, Liatas AC, et all. Iatrogenic and noniatrogenic arterial trauma: A comparative study. Eur J Surg 1991;157:17.
  • Li PK, Taylor CW, Chung RS. Delayed hydrothorax: a complication of central venous catheterization. Surg Rounds 1997;20:462-468.
  • Lingenfelter AL, Guskiewicz RA, Munson ES. Displacement of right atrial and endotracheal catheters with neck flexion. Anesth Analg 1978;57:371-373.
  • Flatley ME, Schapira RM. Hydropneumomediastinum and bilateral hydropneumothorax as delayed complications of central venous catheterization. Chest 1993;103:1914-1916.
Uluslararası Klinik Araştırmalar Dergisi-Cover
  • ISSN: 2148-0281
  • Başlangıç: 2013
  • Yayıncı: Çanakkale Onsekiz Mart Üniversitesi
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