Intimal dissection of arteries of the limbs

D 2009

Intimal dissection of arteries of the limbs

VEVERKOVÁ, Lenka; Michal REŠKA; Martin KÁBELA; Jan KONEČNÝ; Ivan ČAPOV et al.

Základní údaje

Originální název

Intimal dissection of arteries of the limbs

Název česky

Disekce intimy dolních končetin

Autoři

VEVERKOVÁ, Lenka; Michal REŠKA; Martin KÁBELA; Jan KONEČNÝ ; Ivan ČAPOV a Ivana PROCHÁZKOVÁ

Vydání

CEVJ Vol8 No1. Praha, CEVJ Vol8 No1, s. 21-21, 2009

Nakladatel

Phlebomedica spol. sro

Další údaje

Jazyk

angličtina

Typ výsledku

Stať ve sborníku

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Organizační jednotka

Lékařská fakulta

ISSN

Klíčová slova česky

poranění intimální disekce tepny

Klíčová slova anglicky

Injury intimal dissection

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 28. 2. 2010 21:49, doc. MUDr. Lenka Veverková, Ph.D.

Anotace

V originále

Introduction: An artery is dissected by a rupture in its intima or media and blood subsequently flows in between individual layers of the arterial wall. The damage to the intima results from pressure and stretching and is connected to ischemic complications. Sample: Between 2004 and 31.12.2007 we operated on a total of 1,551 trauma patients out of whom only 2 suffered from the above described intimal lesion. In both cases the patients were involved in car accidents and the damage was caused when they were suddenly hit by a blunt object – the steering wheel and the seat. In both cases the resulting ischemy of the limb was treated after a delay due to the complicated rescue of the patients from their cars. In the first case the delay was 150 minutes while in the second 300. The patients did not suffer any fractures on the affected limb. The 25year old woman suffered an intimal lesion in AFC l. sin. and the 36year old man in AP l. dx. Results: In the first case the diagnosis was based on the gradually developed ischemy and the conducted AG. In the second case it was based on clinical examination and a spiral CT. We renewed the continuity of the arteries using an autologous venous graft. The flow of the reconstructed artery was assessed using doppler. In the first case this happened within six months as a foreigner was involved and further checks were impossible. In the second case the flow was uninterrupted even within 14 months and the residual neurological damage that resulted from the ischemy improved. Discussion: The literature describes intimal dissection as a result of accidents, including car accidents. The damage mechanism is often linked to hyperextension of a limb or the neck, however, in our cases a compressive mechanism was involved. The delay in the treatment was not caused by inappropriate healthcare provision but by the complicated rescue of the injured from their vehicles. With an increasing number of accidents we should expect more of these, thus far not very frequent, arterial injuries of the limbs.

Návaznosti

NS10249, projekt VaV

Název: Neuromodulace v řešení poruch kontinence

Investor: Ministerstvo zdravotnictví ČR, Neuromodulace u poruch kontinence stolice

Citovat

VEVERKOVÁ, Lenka; Michal REŠKA; Martin KÁBELA; Jan KONEČNÝ; Ivan ČAPOV a Ivana PROCHÁZKOVÁ. Intimal dissection of arteries of the limbs. In CEVJ Vol8 No1. CEVJ Vol8 No1. Praha: Phlebomedica spol. sro, 2009, s. 21. ISSN 1214-3901.

@inproceedings{849898,
   author = {Veverková, Lenka and Reška, Michal and Kábela, Martin and Konečný, Jan and Čapov, Ivan and Procházková, Ivana},
   address = {Praha},
   booktitle = {CEVJ Vol8 No1},
   edition = {CEVJ Vol8 No1},
   keywords = {Injury intimal dissection},
   language = {eng},
   location = {Praha},
   pages = {21-21},
   publisher = {Phlebomedica spol. sro},
   title = {Intimal dissection of arteries of the limbs},
   year = {2009}
}

TY  - CONF
ID  - 849898
AU  - Veverková, Lenka - Reška, Michal - Kábela, Martin - Konečný, Jan - Čapov, Ivan - Procházková, Ivana
PY  - 2009
TI  - Intimal dissection of arteries of the limbs
PB  - Phlebomedica spol. sro
CY  - Praha
KW  - Injury intimal dissection
N2  - Introduction: An artery is dissected by a rupture in its intima or media and blood subsequently flows in between individual layers of the arterial wall. The damage to the intima results from pressure and stretching and is connected to ischemic complications. Sample: Between 2004 and 31.12.2007 we operated on a total of 1,551 trauma patients out of whom only 2 suffered from the above described intimal lesion. In both cases the patients were involved in car accidents and the damage was caused when they were suddenly hit by a blunt object – the steering wheel and the seat. In both cases the resulting ischemy of the limb was treated after a delay due to the complicated rescue of the patients from their cars. In the first case the delay was 150 minutes while in the second 300. The patients did not suffer any fractures on the affected limb. The 25year old woman suffered an intimal lesion in AFC l. sin. and the 36year old man in AP l. dx. Results: In the first case the diagnosis was based on the gradually developed ischemy and the conducted AG. In the second case it was based on clinical examination and a spiral CT. We renewed the continuity of the arteries using an autologous venous graft. The flow of the reconstructed artery was assessed using doppler. In the first case this happened within six months as a foreigner was involved and further checks were impossible. In the second case the flow was uninterrupted even within 14 months and the residual neurological damage that resulted from the ischemy improved. Discussion: The literature describes intimal dissection as a result of accidents, including car accidents. The damage mechanism is often linked to hyperextension of a limb or the neck, however, in our cases a compressive mechanism was involved. The delay in the treatment was not caused by inappropriate healthcare provision but by the complicated rescue of the injured from their vehicles. With an increasing number of accidents we should expect more of these, thus far not very frequent, arterial injuries of the limbs.
ER  -

VEVERKOVÁ, Lenka; Michal REŠKA; Martin KÁBELA; Jan KONEČNÝ; Ivan ČAPOV a Ivana PROCHÁZKOVÁ. Intimal dissection of arteries of the limbs. In \textit{CEVJ Vol8 No1}. CEVJ Vol8 No1. Praha: Phlebomedica spol. sro, 2009, s.~21. ISSN~1214-3901.

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