TY  - JOUR
AU  - Davidović, Lazar B.
AU  - Končar, Igor B.
AU  - Dragaš, Marko V.
AU  - Marković, Miroslav D.
AU  - Bogavac-Stanojević, Nataša
AU  - Vujčić, Aleksandra D.
AU  - Mitrović, Aleksandar C.
AU  - Ilić, Nikola S.
AU  - Trailović, R.D.
AU  - Kostić, Dušan M.
PY  - 2023
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/4430
AB  - BACKGROUND: The purpose of this study was to examine demographic and baseline characteristics of patients with vascular injuries of extremities and to define the most relevant factors which influenced an early outcome, as well as limb salvage after the management of vascular trauma. METHODS: This study used the database that included 395 patients with peripheral arterial injuries, who were treated in the tertiary vascular university center in the period between 2005-2020. Exclusion criteria were isolated thoracic, abdominal and neck injuries as well as iatrogenic injuries and injuries of intravenous addicts. Univariate binary logistic regression analysis and multiple logistic regression were used to determine risk factors for lomb loss (after vascular reconstruction) or mortality. Decision to perform primary amputation (without vascular reconstruction) was based on surgeons' preference and experience. RESULTS: Out of 395 vascular injuries treated in the period 2005-2020, 210 (53.2%) presented with non-iatrogenic vascular injuries of upper and lower extremities were analyzed. According to the univariate regression analysis, hemorrhage as the main clinical manifestation on admission (P=0.035) and early reintervention (P=0.048) increased, while an early patency of repaired artery (0.010) significantly decreased a 30-day amputation rate. Multivariate logistic regression analysis of these three variables showed that only early patency of repaired artery significantly decreased the early amputation rate (P=0.009). CONCLUSIONS: Based on presented experience, the patency of vascular reconstruction plays a crucial role in limb salvage in patients with non-iatrogenic peripheral vascular injuries. All factors that might influence the patency should be in focus of improvement.
PB  - Edizioni Minerva Medica
T2  - The Journal of cardiovascular surgery
T1  - Treatment of vascular non-iatrogenic injuries of upper and lower extremities in tertiary vascular center
VL  - 64
IS  - 1
SP  - 74
EP  - 81
DO  - 10.23736/S0021-9509.22.12243-3
ER  - 

@article{
author = "Davidović, Lazar B. and Končar, Igor B. and Dragaš, Marko V. and Marković, Miroslav D. and Bogavac-Stanojević, Nataša and Vujčić, Aleksandra D. and Mitrović, Aleksandar C. and Ilić, Nikola S. and Trailović, R.D. and Kostić, Dušan M.",
year = "2023",
abstract = "BACKGROUND: The purpose of this study was to examine demographic and baseline characteristics of patients with vascular injuries of extremities and to define the most relevant factors which influenced an early outcome, as well as limb salvage after the management of vascular trauma. METHODS: This study used the database that included 395 patients with peripheral arterial injuries, who were treated in the tertiary vascular university center in the period between 2005-2020. Exclusion criteria were isolated thoracic, abdominal and neck injuries as well as iatrogenic injuries and injuries of intravenous addicts. Univariate binary logistic regression analysis and multiple logistic regression were used to determine risk factors for lomb loss (after vascular reconstruction) or mortality. Decision to perform primary amputation (without vascular reconstruction) was based on surgeons' preference and experience. RESULTS: Out of 395 vascular injuries treated in the period 2005-2020, 210 (53.2%) presented with non-iatrogenic vascular injuries of upper and lower extremities were analyzed. According to the univariate regression analysis, hemorrhage as the main clinical manifestation on admission (P=0.035) and early reintervention (P=0.048) increased, while an early patency of repaired artery (0.010) significantly decreased a 30-day amputation rate. Multivariate logistic regression analysis of these three variables showed that only early patency of repaired artery significantly decreased the early amputation rate (P=0.009). CONCLUSIONS: Based on presented experience, the patency of vascular reconstruction plays a crucial role in limb salvage in patients with non-iatrogenic peripheral vascular injuries. All factors that might influence the patency should be in focus of improvement.",
publisher = "Edizioni Minerva Medica",
journal = "The Journal of cardiovascular surgery",
title = "Treatment of vascular non-iatrogenic injuries of upper and lower extremities in tertiary vascular center",
volume = "64",
number = "1",
pages = "74-81",
doi = "10.23736/S0021-9509.22.12243-3"
}

Davidović, L. B., Končar, I. B., Dragaš, M. V., Marković, M. D., Bogavac-Stanojević, N., Vujčić, A. D., Mitrović, A. C., Ilić, N. S., Trailović, R.D.,& Kostić, D. M.. (2023). Treatment of vascular non-iatrogenic injuries of upper and lower extremities in tertiary vascular center. in The Journal of cardiovascular surgery
Edizioni Minerva Medica., 64(1), 74-81.
https://doi.org/10.23736/S0021-9509.22.12243-3

Davidović LB, Končar IB, Dragaš MV, Marković MD, Bogavac-Stanojević N, Vujčić AD, Mitrović AC, Ilić NS, Trailović R, Kostić DM. Treatment of vascular non-iatrogenic injuries of upper and lower extremities in tertiary vascular center. in The Journal of cardiovascular surgery. 2023;64(1):74-81.
doi:10.23736/S0021-9509.22.12243-3 .

Davidović, Lazar B., Končar, Igor B., Dragaš, Marko V., Marković, Miroslav D., Bogavac-Stanojević, Nataša, Vujčić, Aleksandra D., Mitrović, Aleksandar C., Ilić, Nikola S., Trailović, R.D., Kostić, Dušan M., "Treatment of vascular non-iatrogenic injuries of upper and lower extremities in tertiary vascular center" in The Journal of cardiovascular surgery, 64, no. 1 (2023):74-81,
https://doi.org/10.23736/S0021-9509.22.12243-3 . .