Article Sidebar
Views pdf: 49
FEMORAL ARTERY INJURIES: PATTERNS AND SURGICAL OUTCOMES AT CHO RAY HOSPITAL
Main Article Content
Abstract
Objective: To describe the clinical characteristics, injury patterns, and surgical outcomes of patients with femoral artery trauma treated at Cho Ray Hospital. Materials and Methods: A retrospective descriptive study was conducted on 73 patients diagnosed and surgically treated for femoral artery injuries at Cho Ray Hospital from January 2022 to June 2025. Data collected included clinical presentation, injury location, arterial injury morphology, treatment methods, and postoperative outcomes (limb salvage, mortality, complications). Results: Most patients were males of working age, with road traffic accidents being the predominant cause. A significant proportion presented late (>24 hours) (20.6%) or underwent prior failed vascular surgery at local hospitals (6.9%). The most commonly injured vessel was the superficial femoral artery (76.7%), followed by the common femoral artery (16.4%). Blunt trauma was the leading mechanism (57.5%), with complete transection seen in 26.0%. Surgical techniques included end-to-end anastomosis, autologous vein or synthetic graft interposition, arterial ligation, and endovascular repair. Both systemic and local complication rates were 12.3%. The overall amputation rate was 18.8%, with secondary amputations accounting for 1.64%. Postoperative mortality was 2.74%. A Mangled Extremity Severity Score (MESS) ≥8 showed high predictive value for amputation risk. Conclusion: Femoral artery trauma often presents with complex associated injuries and requires timely surgical revascularization. Accurate assessment of injury morphology and appropriate treatment selection play a crucial role in improving clinical outcomes.
Article Details
Keywords
Trauma, femoral artery, vascular injury, surgical repair
References
2. Hoàng Công Anh, Nguyễn Hữu Ước, Bùi Thanh Danh. Đặc điểm lâm sàng, hình thái tổn thương và kết quả điều trị chấn thương, vết thương động mạch chi dưới tại Bệnh viện Hữu nghị Việt Tiệp. Tạp chí phẫu thuật tim mạch và lồng ngực Việt Nam. 2021;34:99-106.
3. Fox N, Rajani RR, Bokhari F, et al. Evaluation and management of penetrating lower extremity arterial trauma: an Eastern Association for the Surgery of Trauma practice management guideline. Journal of Trauma and Acute Care Surgery. 2012;73(5):S315-S320.
4. Kobayashi L, Coimbra R, Goes Jr AM, et al. American Association for the Surgery of Trauma–World Society of Emergency Surgery guidelines on diagnosis and management of peripheral vascular injuries. Journal of Trauma and Acute Care Surgery. 2020;89(6):1183-1196.
5. Singh AA, Ashcroft J, Stather PW. Ligation Alone Versus Immediate Revascularization for Femoral Artery Pseudoaneurysms Secondary to Intravascular Drug Use: A Systematic Review and Meta-Analysis. Ann Vasc Surg. 2021;73:473-481.
6. Khurana A, Quencer K, Saini A, et al. Endovascular interventions in the management of acute extremity trauma: a narrative review. Annals of Translational Medicine. 2021;9(14).
7. Wahab MA, Farouk N, Saleh O. Early Outcomes of Traumatic Femoral Artery Aneurysm (Open Repair versus Endovascular Treatment). Annals of vascular surgery. 2019;54:146-151.
8. Huỳnh Thanh Sơn. Đánh giá kết quả điều trị chấn thương động mạch khoeo với chỉ số Mess lớn hơn 7 điểm [Luận Văn Chuyên Khoa Cấp II], Trường Đại học Y dược Thành phố Hồ Chí Minh; 2020.
9. Arroye Betou FS, Mebouinz FN, Zephanie KF, et al. Prevalence, Diagnostic Modalities, Amputation Rate, and Overall Mortality of Arterial Injuries Associated with Lower Limb Fractures/ Dislocations: A Systematic Review and Meta-Analysis. JVS-Vascular Insights. 2025:100283.
10. Wahlgren CM, Aylwin C, Davenport RA, et al. European Society for Vascular Surgery (ESVS) 2025 clinical practice guidelines on the management of vascular trauma. European Journal of Vascular and Endovascular Surgery. 2025.