Review of surgical treatment of iatrogenic iliofemoral artery injury in the pediatric population after catheterization

Trauma is the leading cause of death in the pediatric population. Although vascular trauma has an incidence of 6% in civilian population, iatrogenic injuries are the leading cause, and the most frequent injured vessel is the iliofemoral sector. However, little information is available and there are...

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Bibliographic Details
Published in:European journal of medical research 2023-11, Vol.28 (1), p.1-521, Article 521
Main Authors: Lozano-Corona, Rodrigo, Torres-Machorro, Adriana, Ortiz-Beitz, Reinhard, Reyes-Monroy, Aristeo, García-Lugo, Ignacio, Ruben-Castillo, Christopher, Guerrero-Galindo, Luis Angel
Format: Article
Language:English
Subjects:
Care and treatment
Catheterization
Catheters
Children
Congenital heart disease
Dissection
Females
Health aspects
Hematoma
Hemodynamics
Iatrogenesis
Iatrogenic injury
Iliofemoral arteries
Injuries
Intubation
Ischemia
Literature reviews
Medical errors
Patients
Pediatrics
Pseudoaneurysm
Surgery
Thrombosis
Trauma
Vascular trauma
Veins & arteries
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Summary:Trauma is the leading cause of death in the pediatric population. Although vascular trauma has an incidence of 6% in civilian population, iatrogenic injuries are the leading cause, and the most frequent injured vessel is the iliofemoral sector. However, little information is available and there are no guidelines about its treatment. Therefore, this review aimed to describe the information available concerning pediatric iatrogenic arterial trauma, focusing on the iliofemoral segment and present 3 cases. We described 11 articles with 171 patients, of whom 61% underwent surgery to treat iatrogenic trauma. Mean age was 3.28 years (standard deviation of 3.5 years), and 54% were female. Most iliofemoral injuries occurred after arterial catheterization for hemodynamic monitorization and therapeutic or diagnostic cardiac catheterization (due to congenital heart diseases, including septal defects, tetralogy of Fallot, aortic coarctation, and patent ductus arteriosus). For acute complications, arterial thrombosis was the leading injury, followed by pseudoaneurysm, hematoma, dissection, transection, avulsion, eversion, and combined lesions.
ISSN:2047-783X
0949-2321
2047-783X
DOI:10.1186/s40001-023-01510-y