TY  - JOUR
PY  - 2013//
TI  - Characterization and outcomes of iliac vessel injury in the 21st century: a review of the National Trauma Data Bank
JO  - Vascular and endovascular surgery
A1  - Lauerman, Margaret H.
A1  - Rybin, Denis
A1  - Doros, Gheorghe
A1  - Kalish, Jeffrey
A1  - Hamburg, Naomi M.
A1  - Eberhardt, Robert T.
A1  - Farber, Alik
SP  - 325
EP  - 330
VL  - 47
IS  - 5
N2  - INTRODUCTION: Iliac vessel trauma (IVT) is traditionally associated with high mortality. We evaluated a modern series of patients with IVT to assess current outcomes and endovascular therapy use. <br><br>METHODS: We performed a retrospective review of the National Trauma Data Bank. Patients with IVT were stratified by blunt and penetrating mechanism and arterial and venous injury. <br><br>RESULTS: In blunt IVT, there was no significant difference in mortality between those with and without pelvic fractures (odds ratio [OR] 0.61, 95% confidence interval [CI] 0.36-1.06). In penetrating IVT, combined arterial and venous IVT was associated with higher mortality (OR 1.70, 95% CI 1.06-2.70) compared to isolated arterial IVT. Isolated venous IVT was associated with lower mortality (OR 0.55, 95% CI 0.35-0.85) compared to isolated arterial IVT. Endovascular stenting was utilized in 11.3% of blunt IVT with pelvic fractures, 6.3% of blunt IVT without pelvic fractures, and 1.8% of penetrating IVT. <br><br>CONCLUSION: Iliac Vessel Trauma has significant mortality. Endovascular intervention for IVT is applied sparingly.<p /> <p>Language: en</p>
LA  - en
SN  - 1538-5744
UR  - http://dx.doi.org/10.1177/1538574413487260
ID  - ref1
ER  -