Intraoperative Complications, Thoracic Surgery, Vascular Injury
Conditions
Keywords
Elective Thoracic Surgery, Intraoperative Bleeding, Cardiovascular Surgery, Vascular Injury
Brief summary
This study retrospectively examines major vascular injuries that occurred during elective thoracic surgeries over a 10-year period at a single tertiary care center. Although these injuries are rare, they can lead to life-threatening complications. The study aims to determine how often these injuries happen, what causes them, and how they are managed during surgery. It also evaluates the role of preoperative imaging and planning, including cardiovascular surgery team involvement, in preventing or managing these events. The findings are intended to help improve surgical safety and guide future preventive strategies.
Interventions
OTHERMajor Vascular Injury During Elective Thoracic Surgery
This exposure refers to patients who experienced major vascular injuries during elective thoracic surgery. Injuries involved central vessels such as the subclavian artery, brachiocephalic vein, superior vena cava, and innominate vein. No experimental intervention was applied. The study retrospectively evaluated the surgical management, transfusion requirements, preoperative planning, and clinical outcomes associated with these intraoperative events.
Sponsors
Caner İşevi, MD
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Patients who underwent elective thoracic surgery between January 2015 and December 2024 * Development of a major intraoperative vascular injury during surgery * Injury involving central vessels such as the subclavian artery or vein, brachiocephalic vein, innominate artery or vein, superior vena cava (SVC), or thoracic aorta * Availability of complete operative and postoperative medical records * Underwent surgical repair of the vascular injury (e.g., grafting, primary repair, ligation)
Exclusion criteria
* Patients undergoing emergency thoracic surgery * Injuries limited to pulmonary artery or its branches * Minor bleeding from peripheral vessels that did not require major intervention * Postoperative vascular complications (e.g., delayed hemorrhage, pseudoaneurysm) * Missing or incomplete operative records
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of Major Intraoperative Vascular Injuries During Elective Thoracic Surgeries | During Surgery (Intraoperative Period) | The primary outcome is the incidence rate of major vascular injuries identified during elective thoracic surgeries performed between January 2015 and December 2024. Major vascular injury is defined as intraoperative bleeding from central vessels such as the subclavian artery or vein, brachiocephalic vein, innominate artery or vein, superior vena cava (SVC), or thoracic aorta, requiring immediate surgical intervention (e.g., primary repair, grafting, or ligation). |
Outcome results
None listed