Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and Management
Iatrogenic vascular injuries are unintended complications arising from medical or surgical procedures, posing significant risks to patient outcomes. These injuries can result from various interventions, such as catheter placements and stent insertions, and may lead to serious complications. This stu...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2025-04-01
|
| Series: | Indian Journal of Vascular and Endovascular Surgery |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/ijves.ijves_100_24 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849696985100058624 |
|---|---|
| author | Vemuri Nandan Suhas S Gowda Sanjay C Desai Chandrashekar Anagavalli Ramswamy Tadasina Sajay Reddy Parth Joshi |
| author_facet | Vemuri Nandan Suhas S Gowda Sanjay C Desai Chandrashekar Anagavalli Ramswamy Tadasina Sajay Reddy Parth Joshi |
| author_sort | Vemuri Nandan |
| collection | DOAJ |
| description | Iatrogenic vascular injuries are unintended complications arising from medical or surgical procedures, posing significant risks to patient outcomes. These injuries can result from various interventions, such as catheter placements and stent insertions, and may lead to serious complications. This study analyzes a series of iatrogenic vascular injuries encountered at our institution, focusing on their management and outcomes to enhance patient safety and procedural techniques. From September 1, 2022, to May 31, 2024, a total of nine patients (six males and three females) were treated for iatrogenic vascular injuries at our institution. The injuries resulted from various procedures, including catheter placements, endovascular interventions, and chemo port insertions. Management strategies included both endovascular and open-surgical approaches, with outcomes measured based on postoperative recovery, complications, and overall patient prognosis. The injuries involved a range of complications, including pseudoaneurysms, misplaced guidewires, and arterial damage. Endovascular techniques, such as stent placement and guidewire retrieval, were successfully utilized in four cases, while open surgical interventions were necessary in the remaining four cases to control severe bleeding and repair complex arterial defects. Postoperative complications were minimal, and all patients recovered well, with no mortality reported. Iatrogenic vascular injuries, though challenging, can be effectively managed with a combination of endovascular and open surgical techniques. The choice of approach should be dictated by the specific nature of the injury, aiming to minimize complications and ensure optimal patient outcomes. The findings from this case series underscore the importance of tailored management strategies in improving patient safety in vascular interventions. |
| format | Article |
| id | doaj-art-1976f7ff059d4cdaa3f3b4d54a1858cd |
| institution | DOAJ |
| issn | 0972-0820 2394-0999 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Vascular and Endovascular Surgery |
| spelling | doaj-art-1976f7ff059d4cdaa3f3b4d54a1858cd2025-08-20T03:19:19ZengWolters Kluwer Medknow PublicationsIndian Journal of Vascular and Endovascular Surgery0972-08202394-09992025-04-0112217117410.4103/ijves.ijves_100_24Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and ManagementVemuri NandanSuhas S GowdaSanjay C DesaiChandrashekar Anagavalli RamswamyTadasina Sajay ReddyParth JoshiIatrogenic vascular injuries are unintended complications arising from medical or surgical procedures, posing significant risks to patient outcomes. These injuries can result from various interventions, such as catheter placements and stent insertions, and may lead to serious complications. This study analyzes a series of iatrogenic vascular injuries encountered at our institution, focusing on their management and outcomes to enhance patient safety and procedural techniques. From September 1, 2022, to May 31, 2024, a total of nine patients (six males and three females) were treated for iatrogenic vascular injuries at our institution. The injuries resulted from various procedures, including catheter placements, endovascular interventions, and chemo port insertions. Management strategies included both endovascular and open-surgical approaches, with outcomes measured based on postoperative recovery, complications, and overall patient prognosis. The injuries involved a range of complications, including pseudoaneurysms, misplaced guidewires, and arterial damage. Endovascular techniques, such as stent placement and guidewire retrieval, were successfully utilized in four cases, while open surgical interventions were necessary in the remaining four cases to control severe bleeding and repair complex arterial defects. Postoperative complications were minimal, and all patients recovered well, with no mortality reported. Iatrogenic vascular injuries, though challenging, can be effectively managed with a combination of endovascular and open surgical techniques. The choice of approach should be dictated by the specific nature of the injury, aiming to minimize complications and ensure optimal patient outcomes. The findings from this case series underscore the importance of tailored management strategies in improving patient safety in vascular interventions.https://journals.lww.com/10.4103/ijves.ijves_100_24catheter placementsendovascular interventionsiatrogenic vascular injuriesmanagement strategiesmisplaced guidewiresopen surgical approachespatient safetypseudoaneurysmsstent insertions |
| spellingShingle | Vemuri Nandan Suhas S Gowda Sanjay C Desai Chandrashekar Anagavalli Ramswamy Tadasina Sajay Reddy Parth Joshi Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and Management Indian Journal of Vascular and Endovascular Surgery catheter placements endovascular interventions iatrogenic vascular injuries management strategies misplaced guidewires open surgical approaches patient safety pseudoaneurysms stent insertions |
| title | Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and Management |
| title_full | Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and Management |
| title_fullStr | Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and Management |
| title_full_unstemmed | Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and Management |
| title_short | Inadvertent Harm: An Institutional Analysis of Iatrogenic Vascular Injuries and Management |
| title_sort | inadvertent harm an institutional analysis of iatrogenic vascular injuries and management |
| topic | catheter placements endovascular interventions iatrogenic vascular injuries management strategies misplaced guidewires open surgical approaches patient safety pseudoaneurysms stent insertions |
| url | https://journals.lww.com/10.4103/ijves.ijves_100_24 |
| work_keys_str_mv | AT vemurinandan inadvertentharmaninstitutionalanalysisofiatrogenicvascularinjuriesandmanagement AT suhassgowda inadvertentharmaninstitutionalanalysisofiatrogenicvascularinjuriesandmanagement AT sanjaycdesai inadvertentharmaninstitutionalanalysisofiatrogenicvascularinjuriesandmanagement AT chandrashekaranagavalliramswamy inadvertentharmaninstitutionalanalysisofiatrogenicvascularinjuriesandmanagement AT tadasinasajayreddy inadvertentharmaninstitutionalanalysisofiatrogenicvascularinjuriesandmanagement AT parthjoshi inadvertentharmaninstitutionalanalysisofiatrogenicvascularinjuriesandmanagement |