Background The evolution of imaging for the diagnosis and treatment of vascular injury has evolved with the development of imaging technologies, increased availability of advanced modalities, and changing treatment paradigms. Diagnostic arteriography was first used in 1927 by Egas Moniz,…
Introduction Vascular trauma presents in a variety of settings and results in findings that range from life-threatening hemorrhage secondary to major torso or extremity vessel disruption to no detectable signs in occult injuries. Effective management is based upon early diagnosis…
Introduction Hemorrhage occurs when there is disruption of the blood vessel wall after an injury, i.e., vascular trauma. Hemorrhage remains a leading cause of death in trauma patients, accounting for 40% of deaths. In order to reduce mortality from hemorrhage…
Introduction Major hemorrhage is the leading cause of preventable death in both civilian and military trauma patients. However, since the beginning of the twenty-first century improvements have been made in the care of trauma patients with major hemorrhage. For the…
Introduction The issue of surgical training—whether vascular or general—faces a number of significant current and future challenges. Firstly, the advent of vascular surgical residencies in the United States and Great Britain has widened the gap between vascular surgery and general…
Trauma Systems Overview Managing severe injuries requires the timely intervention of multidisciplinary teams, as well as the coordination of prehospital care and resuscitation begun at the point of injury. Fundamentally, trauma systems save lives by rapidly delivering critically injured patients…
Lambert’s dictum describes “what” vascular surgeons do. This has remained constant throughout the centuries. However, “why” and “how” surgeons do this has changed drastically from decade to decade. The vascular trauma subspecialty in particular has experienced changing practices with regard…
Although the first crude arteriorrhaphy was performed more than 250 years ago, it is only within the past 50 years that vascular surgery has been practiced both widely and consistently with anticipation of good results. Historically, it is of particular…