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Ahmed A R Ammar 1 Article
Peripheral Arterial Injuries in Pediatric Age Group
Ahmed A R Ammar
J Trauma Inj. 2016;29(2):37-42.   Published online June 30, 2016
DOI: https://doi.org/10.20408/jti.2016.29.2.37
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  • 6 Citations
AbstractAbstract PDF
PURPOSE
Arterial injury in children is a challenging problem for its special characteristics. It is rare even during warfare. This review described a personal experience in the management and outcome of acute pediatric arterial injuries of extremities.
METHODS
Thirty-six children below age of 13 years were studied during period from 2004 through 2014 in Iraq.
RESULTS
Male patients were 27 (75%) and female were 9 (25%). Seven to twelve years old was the most affected age group. The incidence of iatrogenic injuries was greater in infants and toddlers while penetrating injuries were the most common in older children. Upper limbs arteries were affected in 17 (47.2%) and lower limb in 19 (52.8%) patients. Hard signs were the commonest mode of presentation (83.3%). Lateral wall tear and complete transection were the most frequent types of arterial injury (36.1% and 27.8% respectively). The most frequent procedures performed were end-to-end anastomosis and lateral arteriorrhaphy. Surgical outcome was good. In 27 cases distal pulsations were regained. Seven cases had impalpable distal pulses but still viable limbs. Limb length discrepancy was detected in one case. One case was complicated with limb loss. No death was recorded.
CONCLUSION
Arterial injuries in children are age related. The proper treatment of arterial injuries in children requires high index of suspicion, early operative intervention and continuous postoperative follow-up throughout years of active growth. Angiogram has a limited role as a diagnostic tool in acute arterial injuries.
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Citations

Citations to this article as recorded by  
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    Madhur Kumar, Subrata Pramanik, Anubhav Gupta
    Indian Journal of Vascular and Endovascular Surger.2021; 8(5): 66.     CrossRef
  • TREATMENT OF ARTERIAL TRAUMA IN PATIENTS OF VARIOUS AGES
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    Zia Ur Rehman, Amna Riaz, Zafar Nazir
    Annals of Vascular Diseases.2020; 13(2): 158.     CrossRef
  • Age differences of arterial trauma – Selection of the most appropriate age classification
    Vitaliy Petrov
    Polish Annals of Medicine.2020;[Epub]     CrossRef
  • Operative management of non-iatrogenic pediatric and adolescence peripheral arterial trauma: An experience from a resource challenged setting
    Ahmed Mousa, Ossama M. Zakaria, Ibrahim Hanbal, Tamer A. Sultan, Amr M. El-Gibaly, Mohamed Y. Zakaria, Mohammed A. Nasr, Bosat E. Bosat, Alaa Sharabi, Mohamed Neinaa, Mohamed Abd El-Hamid, Mohamed Y. Daoud, Mahsoub M. Amin, Ahmed M. Odeh, Omer M. Alhaieg,
    Asian Journal of Surgery.2019; 42(7): 761.     CrossRef

J Trauma Inj : Journal of Trauma and Injury