@article{ref1,
title="Management of vascular trauma during the Paris terrorist attack of November 13, 2015",
journal="Annals of vascular surgery",
year="2017",
author="Tresson, Philippe and Touma, Joseph and Gaudric, Julien and Pellenc, Quentin and Le Roux, Marielle and Pierret, Charles and Kobeiter, Hicham and Julia, Pierre and Goeau-Brissonniere, Olivier and Desgranges, Pascal and Koskas, Fabien and Castier, Yves",
volume="40",
number="",
pages="44-49",
abstract="OBJECTIVES: On November 13, 2015, Paris and Saint-Denis were the targets of terrorist attacks. The hospitals of the Public Hospitals of Paris Organization (AP-HP) and the Percy Armed Forces Instruction Hospitals were mobilized to face the mass casualty situation. The objective of this study was to analyze the management of the victims presenting with a non-thoracic vascular trauma (NTVT). MATERIAL AND METHODS: All the data relating to the victims of NTVT who required a specific vascular open or endovascular treatment were analyzed retrospectively. A six months follow-up was obtained for all the patients. <br><br>RESULTS: Among the 351 wounded, 20 (5.7%) had a NTVT and were dispatched in eight hospital (11 men of average age 32). NTVT were gunshots in 17 cases (85%) or due to a handmade bomb in three cases (15%). Twelve patients (60%) received cardiopulmonary resuscitation during prehospital care. NTVT affected the limbs (14 cases, 70%) and the abdomen or the small pelvis (six cases, 30%). All the patients were operated in emergency. Arterial lesions were treated with greater saphenous vein bypasses, by ligation and/or embolization. Eleven venous lesions were treated by direct repair or ligation. Associated lesions requiring a specific treatment were present in 19 patients (95%) and were primarily osseous, nervous and abdomino-pelvic. Severe postoperative complications were observed in nine patients (45%). Fourteen patients (70%) required blood transfusion (6.4 units of packed red blood cells on average, range 0-48). There were no deaths or amputation and all vascular reconstructions were patent at six months. <br><br>CONCLUSION: The effectiveness of the prehospital emergency services and a multi-sites and multidisciplinary management made it possible to obtain satisfactory results for NTVT casualties. All the departments of vascular surgery must be prepared to receive many wounded victims in the event of terrorist attacks.<br><br>Copyright © 2017 Elsevier Inc. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0890-5096",
doi="10.1016/j.avsg.2016.09.011",
url="http://dx.doi.org/10.1016/j.avsg.2016.09.011"
}