Major Vascular Injuries in Elective Thoracic Surgery: A Single-Center 10-Year Experience
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 11
- Primary Endpoint
- Incidence of Major Intraoperative Vascular Injuries During Elective Thoracic Surgeries
Study Overview
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.
Study Design
- Study Type
- Observational
- Observational Model
- Cohort
- Time Perspective
- Retrospective
Eligibility Criteria
- Sex
- All
- Accepts 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
Arms & Interventions
Patients With Intraoperative Vascular Injury
This cohort includes patients who experienced major intraoperative vascular injuries during elective thoracic surgeries between January 2015 and December 2024. All patients underwent surgical repair of the injured vessel, such as primary suturing, graft interposition, or ligation. No randomization or intervention assignment was performed. Data were collected retrospectively from medical records to evaluate patient characteristics, surgical details, transfusion requirements, preoperative imaging findings, complication rates, and clinical outcomes. No biospecimens were collected or retained.
Intervention: Major Vascular Injury During Elective Thoracic Surgery (Other)
Outcomes
Primary Outcomes
Incidence of Major Intraoperative Vascular Injuries During Elective Thoracic Surgeries
Time Frame: 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).
Secondary Outcomes
No secondary outcomes reported
Investigators
Caner İşevi, MD
Principal Investigator
Ondokuz Mayıs University