Etiology and pathophysiology of the civil arterial trauma: Does age matter?

Özet

Objectives: This study aims to characterize the etiology and pathophysiology of the civil arterial traumas (ATs) in patients of various ages.Patients and methods: Between January 1993 and December 2018, a total of 222 patients (185 males, 37 females; median age 32 years;range, 8 days to 84 years) with ATs in the vascular surgery clinic of the Lviv Clinical Regional Hospital in Ukraine were retrospectivelyanalyzed. The patients were divided into seven groups according to the age as follows: infancy (≤2 years), early childhood (3-6 years),childhood (7-12 years), teens (13-18 years), young adults (19-40 years), adults (41-65 years), and elderly (≥66 years).Results: Domestic accidents occurred in 45.5% of the patients, and none of the infants had domestic accidents (p 0.1). Arterialtraumas with partial vessel disruption developed in 52.3%, complete disruption in 26.1%, and without disruption in 10.8%, indicating nosignificant difference among the age groups (p>0.1). In the regression model, the trauma mechanism, but not the age or etiology, was thedeterminant of the type of ATs.Conclusion: Patients of various ages acquire ATs from different etiologies, but the majority of these are penetrating mechanisms. Thetrauma mechanism is the main determinant of the type of vessel injuries in all age groups.