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Khirurgiia (Mosk) ; (4): 85-91, 2021.
Article in Russian | MEDLINE | ID: mdl-33759475

ABSTRACT

Iatrogenic events made up 1-10% of in-hospital mortality. Currently, iatrogenic vascular injuries are described for almost all surgical areas. Incidence of iatrogenic vascular injuries is gradually increased that is primarily associated with high number of percutaneous endovascular interventions. Surgical treatment of patients with iatrogenic vessel injuries is extremely difficult. This is due to sudden development of this complication, severe clinical state of the patient associated with underlying disease, acute massive blood loss, as well as insufficient experience of surgeon in urgent vascular surgery. Simple lateral or circular suturing is not always possible to restore the vessel integrity. Vascular replacement including non-standard vascular reconstructions are often required. Prevention of iatrogenic vascular injuries is also insufficiently described in the literature. Most manuscripts devoted to iatrogenic vascular injuries are usually represented by case reports or small sample. Thus, it is impossible to identify the main measures for prevention of iatrogenic injury.


Subject(s)
Iatrogenic Disease , Vascular System Injuries , Clinical Competence , Endovascular Procedures/adverse effects , Hemorrhage/etiology , Hemorrhage/surgery , Hospital Mortality , Humans , Iatrogenic Disease/prevention & control , Vascular Surgical Procedures/methods , Vascular Surgical Procedures/standards , Vascular System Injuries/etiology , Vascular System Injuries/mortality , Vascular System Injuries/surgery
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