Diagnosis and Treatment of Traumatic Vascular Injury

Dear Colleagues,

The management of traumatic vascular injuries is one of the most challenging topics in modern vascular and endovascular surgery due to the complexity of the clinical presentation of a patient, who is often in a life-threatening situation. A multidisciplinary approach with the combined efforts of different specialists appears mandatory to ensure the correct timing and treatment priorities in order to ensure the best results.

Vascular lesions may involve all body areas, and present as penetrating and/or blunt arterial injuries. More often, penetrating vascular injuries involve neck and limbs, while blunt traumas are more frequent in abdominal vessels and thoracic and abdominal aorta, especially in patients involved in traffic accidents.

After patient stabilization, prompt diagnosis and correct therapeutic strategy are key for solving both life-threatening aortic lesions or limb salvage in peripheral artery injuries. In the endovascular era, thoracic endovascular repair (TEVAR) has become the therapy of first choice for the treatment of blunt thoracic aortic injury over the last decades for traumatic aortic grade III and IV lesions at CT scan, while open surgery often remain the best approach for managing penetrating neck and limb vascular lesions. Nevertheless, selective embolization end covered stents could represent an important adjunct to resolve traumatic vascular bleeding.

This Special Issue aims to provide an update on different guidelines in this complex field and to present research on clinical data and share the experiences of different specialists involved in the diagnosis, treatment and follow-up of traumatic vascular lesions.

Dr. Paolo Righini
Dr. Daniela Mazzaccaro
Prof. Dr. Giovanni Nano
Guest Editors

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