Outcomes of Traumatic Arterial Injuries in Upper vs. Lower Extremities
NCT ID: NCT05312489
Last Updated: 2022-04-05
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
65 participants
OBSERVATIONAL
2022-06-01
2024-06-01
Brief Summary
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Detailed Description
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2. History and physical examination are the most important components of the diagnostic protocol The presence of hard signs of arterial injury
* Absent or diminished pulses
* Active haemorrhage
* Large, expanding, or pulsatile hematoma
* Bruit or thrill
* Distal ischemia is considered an indication for surgery, and no further specific investigative measures will be taken.
Soft signs of vascular trauma should be noted as well including
* Small, stable hematoma
* Unexplained hypotension
* History of haemorrhage that is no longer present
* Proximity of injury to major vessels
3. Investigations including:
* The use of a hand-held Doppler examination as a diagnostic aid
* Duplex US and CTA for imaging.
* Lab investigations: Complete blood picture, Coagulation profile and Kidney function tests.
Options of intervention:
All vascular trauma patients will be admitted for operative management and follow up. The specific surgical intervention will be determined by the vascular surgeon according to type, site, and extent of the injury, ranging from ligation of the injured vessel to vascular graft interposition.
An injury to a peripheral artery that does not result in complete transection can be repaired depending on luminal diameter with an interrupted or continuous suturing technique. A complete transection of a peripheral artery is first managed with minimal debridement back to healthy intima at both ends then an end-to-end anastomosis or with an interposition graft of autogenous vein or prosthetics arterial graft.
Conditions
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Study Design
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COHORT
OTHER
Study Groups
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Upper extremity arterial trauma
Vascular traumatic injuries of the arterial system of the upper limbs.
No interventions assigned to this group
Lower extremity arterial trauma
Vascular traumatic injuries of the arterial system of the lower limbs.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Vascular injuries limited to thoracic, abdominal, or neck vessels.
ALL
No
Sponsors
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Assiut University
OTHER
Responsible Party
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Abanoub Emad Mousa Daniel
Principal Investigator
Principal Investigators
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Mohamed A Mubarak
Role: STUDY_DIRECTOR
Assiut University
Ashraf G Taha
Role: STUDY_DIRECTOR
Assiut University
Osman M Ahmed
Role: STUDY_DIRECTOR
Assiut University
Abanoub E Mousa
Role: PRINCIPAL_INVESTIGATOR
Assiut University
Central Contacts
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References
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Gallo LK, Ramos CR, Rajani RR, Benarroch-Gampel J. Management and Outcomes after Upper Versus Lower Extremity Vascular Trauma. Ann Vasc Surg. 2021 Oct;76:152-158. doi: 10.1016/j.avsg.2021.05.007. Epub 2021 Jun 18.
Feliciano DV, Moore FA, Moore EE, West MA, Davis JW, Cocanour CS, Kozar RA, McIntyre RC Jr. Evaluation and management of peripheral vascular injury. Part 1. Western Trauma Association/critical decisions in trauma. J Trauma. 2011 Jun;70(6):1551-6. doi: 10.1097/TA.0b013e31821b5bdd. No abstract available.
Feliciano DV, Moore EE, West MA, Moore FA, Davis JW, Cocanour CS, Scalea TM, McIntyre RC Jr. Western Trauma Association critical decisions in trauma: evaluation and management of peripheral vascular injury, part II. J Trauma Acute Care Surg. 2013 Sep;75(3):391-7. doi: 10.1097/TA.0b013e3182994b48.
Huber GH, Manna B. Vascular Extremity Trauma. 2023 Apr 19. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK536925/
Other Identifiers
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Vascular Trauma
Identifier Type: -
Identifier Source: org_study_id
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