{"title":"Isolated celiac artery injury: Brief report, review of literature, and suggested grading guidelines","authors":"Kanani Fahim, Neeman Uri, Hashavia Eyal, Timor Idit, Soffer Dror, Shimonovich Shachar","doi":"10.1177/14604086231221391","DOIUrl":"https://doi.org/10.1177/14604086231221391","url":null,"abstract":"Blunt traumatic dissection of the celiac artery without aortic dissection is a rare event. There is paucity of data on the appropriate management of such injuries. In this brief report, we present a patient with isolated celiac artery dissection after blunt abdominal trauma. The patient was managed non-operatively with anticoagulation and developed splenic infarct. Due to its rarity, no grading criteria and management guidelines exist for the spectrum of isolated blunt CA injuries. Furthermore, it remains unlikely that injury volume will increase to create robust management guidelines. We therefore suggest that isolated celiac artery injury be graded based on the Biffl grading criteria for blunt cerebrovascular injury and managed accordingly.","PeriodicalId":515287,"journal":{"name":"Trauma","volume":"65 42","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534576","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TraumaPub Date : 2024-01-10DOI: 10.1177/14604086231214619
Matthew Metcalf, Matthew Turnock, Pippa Hall, Owen Hammett, P. Cowburn, Timothy Godfrey
{"title":"Response to: The clot thickens","authors":"Matthew Metcalf, Matthew Turnock, Pippa Hall, Owen Hammett, P. Cowburn, Timothy Godfrey","doi":"10.1177/14604086231214619","DOIUrl":"https://doi.org/10.1177/14604086231214619","url":null,"abstract":"","PeriodicalId":515287,"journal":{"name":"Trauma","volume":"56 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139534879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TraumaPub Date : 2024-01-04DOI: 10.1177/14604086231221704
Tran Van Duong, Ngo Quoc Hung, Truong Nguyen Khanh Hung, Vo Thai Trung, Lam Quang An
{"title":"A cadaveric study and clinical application of the free superficial circumflex iliac artery perforator flap reconstruction of limb soft tissue defects","authors":"Tran Van Duong, Ngo Quoc Hung, Truong Nguyen Khanh Hung, Vo Thai Trung, Lam Quang An","doi":"10.1177/14604086231221704","DOIUrl":"https://doi.org/10.1177/14604086231221704","url":null,"abstract":"In recent decades the superficial circumflex iliac artery perforator (SCIP) flap technique has gradually overcome the previous disadvantages of its pedicle and donor site to be widely applied in treating tissue's defects. This article investigates the vascular anatomy of the SCIP flap and evaluates the result of using the flap to reconstruct limb defects. The study was performed in two parts. Firstly a cross-sectional descriptive anatomical study comprising 49 groin dissections in 25 cadavers, with contrast radiographic demonstration of the vascular anatomy. Secondly a retrospective case series of 51 free SCIP flaps in 49 patients. Surgical outcomes were evaluated using the Vancouver Scar Scale on the regional function and the aesthetics of implanted flap and donor sites. The results of anatomical analysis on cadavers showed the superficial circumflex iliac arteries were detected in all specimens with an average diameter of 1.4 ± 0.3 mm. The superficial subcutaneous venous systems were also recorded, including two veins (superficial circumflex vein and superficial epigastric vein) in 79.5% with an average diameter of 2.3 ± 0.6 mm. The flap results showed the alive flap rate was 90.2%, partial-necrosis flap was 3.9% and total necrosis of the flap in 5.9%. In the aesthetic evaluation, fine line scars were seen in 13/51 cases (25.5%), stretch scars in 33/51 cases (64.7%) and hypertrophic scars in 5/51 patients (9.8%), with no cases of keloid scars. The SCIP flap is a reliable free-tissue transfer for reconstructing limb soft tissue defects. Moreover, the SCIP flap is an ideal flap with pleasing aesthetics because the donor-site scar is situated in a well-hidden site. Care must be taken when vein grafts are used to lengthen the flap as flap necrosis rates increase.","PeriodicalId":515287,"journal":{"name":"Trauma","volume":"47 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139386951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
TraumaPub Date : 2024-01-04DOI: 10.1177/14604086231224537
Yohan Kim, Dominic Romeo, Joshua L Golubovsky, Michael Spadola, Sonia Ajmera, Rachel Blue, David Kung, James Schuster
{"title":"Lumbar artery pseudoaneurysm in traumatic spinal cord injury from a gunshot wound: A case report","authors":"Yohan Kim, Dominic Romeo, Joshua L Golubovsky, Michael Spadola, Sonia Ajmera, Rachel Blue, David Kung, James Schuster","doi":"10.1177/14604086231224537","DOIUrl":"https://doi.org/10.1177/14604086231224537","url":null,"abstract":"Lumbar artery pseudoaneurysms are a rare complication of penetrating trauma that can result in devastating retroperitoneal hemorrhage or embolic complications if left untreated. Prompt recognition in the trauma setting can lead to timely definitive diagnosis via spinal angiography and treatment via endovascular embolization. We present a case of lumbar artery pseudoaneurysm secondary to a gunshot wound to the spine treated via coil embolization.","PeriodicalId":515287,"journal":{"name":"Trauma","volume":"41 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139385167","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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