Changing Etiological Spectrum of Acute Peripheral Vascular Injuries A Clinico-Epidemiological Study

Abstract

The overall incidence of acute peripheral vascular injuries is on a rise in civilian practice which is largely attributable to frequent use of firearms, terrorist violence and high speed road traffic accidents. This study reveals the clinical and operative details of 19 patients with peripheral vascular trauma which necessitated surgical intervention from August 1998 to February 2000. Present study also aims to highlight an emerging change in the etiological spectrum of vascular injuries with an alarming contribution by the drug addicts (15.7%), which demands a multi-disciplinary approach. An understanding of modes of presentation of vascular trauma with early diagnosis and appropriate treatment are essential for all surgeons to maximize the chances of limb salvage. Time is the prime factor in determining the final outcome of vascular repair.