{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,4]],"date-time":"2026-07-04T11:27:51Z","timestamp":1783164471205,"version":"3.54.6"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T00:00:00Z","timestamp":1731456000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Cape Town"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Pediatr Surg Int"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Incidence, management, and outcomes of pediatric vascular injuries secondary to non-iatrogenic trauma were reviewed over a decade in our institution.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective review of medical records (2013\u20132022) of major traumatic vascular injuries, focusing on injury profiles, treatment modalities, and clinical outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Thirty patients with 48 vessel injuries were included. Firearms were the leading mechanism, accounting for 43.3% (<jats:italic>n<\/jats:italic>\u2009=\u200913) of cases. We identified 29 arterial injuries and 19 venous injuries, with 30 (62.5%) of the overall injuries occurred in the lower extremities. Shock (17; 56.7%) and associated injuries (25; 83.3%) were common. Surgery was the most common management strategy. Autologous bypass graft was the most frequently performed procedure for arterial injuries (8; 42.1%), while ligation dominated in venous injuries (9; 64.3%). Blood transfusion requirements (24; 82.7%) and post-operative prescription of anticoagulant\u00a0and antiplatelet agents\u00a0(12; 41.4%) were similar for arterial and venous injuries (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05). Three patients demised, resulting in a 90% survival rate. Neither the mechanism of injury, anatomical location, and presence of shock on arrival nor the baseline hemoglobin level served as predictors of mortality.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Intensive resuscitation with blood transfusion and prompt surgical intervention achieve favorable survival rates for pediatric traumatic vascular injuries. Optimal post-operative anticoagulant and antiplatelet\u00a0regimens remain unclear.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00383-024-05887-7","type":"journal-article","created":{"date-parts":[[2024,11,13]],"date-time":"2024-11-13T04:53:19Z","timestamp":1731473599000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["A decade of managing pediatric major traumatic vascular injuries: insights from a referral center"],"prefix":"10.1007","volume":"40","author":[{"given":"Norhafiza","family":"Ab. Rahman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dirk","family":"von Delft","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alp","family":"Numanoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edre","family":"Mohammad Aidid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Arnold","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,11,13]]},"reference":[{"key":"5887_CR1","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.1136\/tsaco-2023-001263","volume":"9","author":"NB Lyons","year":"2024","unstructured":"Lyons NB, Berg A, Collie BL et al (2024) Management of lower extremity vascular injuries in pediatric trauma patients: 20-year experience at a level 1 trauma center. Trauma Surg Acute Care Open 9:1386. https:\/\/doi.org\/10.1136\/tsaco-2023-001263","journal-title":"Trauma Surg Acute Care Open"},{"key":"5887_CR2","doi-asserted-by":"publisher","first-page":"324","DOI":"10.1016\/j.jpedsurg.2019.10.009","volume":"55","author":"N Shahi","year":"2020","unstructured":"Shahi N, Phillips R, Meier M et al (2020) Anti-coagulation management in pediatric traumatic vascular injuries. J Pediatr Surg 55:324\u2013330. https:\/\/doi.org\/10.1016\/j.jpedsurg.2019.10.009","journal-title":"J Pediatr Surg"},{"key":"5887_CR3","doi-asserted-by":"publisher","first-page":"1885","DOI":"10.1016\/j.jpedsurg.2016.07.001","volume":"51","author":"M Kirkilas","year":"2016","unstructured":"Kirkilas M, Notrica DM, Langlais CS et al (2016) Outcomes of arterial vascular extremity trauma in pediatric patients. 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