@article{ref1,
title="155 vascular injuries: a retrospective study in Kuwait, 1992-2000",
journal="European journal of surgery, The",
year="2002",
author="Asfar, Sami and Al-Ali, Jassim and Safar, Hussein and Al-Bader, Marzouk and Farid, Emad and Ali, Ahmad and Kansou, Jalal",
volume="168",
number="11",
pages="626-630",
abstract="OBJECTIVES: To audit the management of vascular trauma in Kuwait, 1992-2000. DESIGN: Retrospective open study. SETTING: Vascular surgery unit, teaching hospital, Kuwait. SUBJECTS: 155 patients with vascular injuries, most of which (n = 118) involved the extremities. 21 had neck injuries, 10 abdominal, and 6 chest. INTERVENTION: Revascularisation usually using the long saphenous vein in addition to direct repair or end-to-end anastomosis. MAIN OUTCOME: Morbidity (amputation) and mortality. RESULTS: Four lower limb grafts failed, two of which (2/69, 3%) required amputation. Overall, four patients died (3%), one of pulmonary embolism and 3 of severe injuries to major abdominal vessels. 3/10 patients with abdominal vascular trauma died. Mean (SD) follow up period was 4.4 (2) years. CONCLUSIONS: Civilian violence has increased in Kuwait. Vascular trauma to abdominal vessels is associated with high mortality. Autogenous saphenous vein forms an excellent conduit for revascularisation.<p /><p>Language: en</p>",
language="en",
issn="1102-4151",
doi="",
url="http://dx.doi.org/"
}