Editor-in-Chief Ufuk Demirkılıç Frequency Quarterly Abbreviation Turk J Vasc Surg Publisher Turkish National Vascular and Endovascular Surgery Society ISSN 2667-4947 E-ISSN 2667-5080



Turkish Journal of Vascular Surgery 2020 , Vol 29 , Issue 1
Etiology and pathophysiology of the civil arterial trauma: Does age matter?
Vitaliy Petrov1
1Department of Surgery, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine DOI : 10.9739/tjvs.2020.569 Objectives: This study aims to characterize the etiology and pathophysiology of the civil arterial traumas (ATs) in patients of various ages.

Patients and methods: Between January 1993 and December 2018, a total of 222 patients (185 males, 37 females; median age 32 years; range, 8 days to 84 years) with ATs in the vascular surgery clinic of the Lviv Clinical Regional Hospital in Ukraine were retrospectively analyzed. The patients were divided into seven groups according to the age as follows: infancy (≤2 years), early childhood (3-6 years), childhood (7-12 years), teens (13-18 years), young adults (19-40 years), adults (41-65 years), and elderly (≥66 years).

Results: Domestic accidents occurred in 45.5% of the patients, and none of the infants had domestic accidents (p<0.01). Interpersonal conflicts were seen in 20.2%, more frequently in the young adults (p<0.05). Iatrogenia developed in 15.8%, typical in the infants (p<0.01) and rare in the young adults (p<0.01). Injuries were penetrating in 69.4% and non-penetrating in 23.9%, irrespective of the age (p>0.1). Arterial traumas with partial vessel disruption developed in 52.3%, complete disruption in 26.1%, and without disruption in 10.8%, indicating no significant difference among the age groups (p>0.1). In the regression model, the trauma mechanism, but not the age or etiology, was the determinant of the type of ATs.

Conclusion: Patients of various ages acquire ATs from different etiologies, but the majority of these are penetrating mechanisms. The trauma mechanism is the main determinant of the type of vessel injuries in all age groups. Keywords : Age, artery injuries, etiology, pathophysiology, trauma