to nerves (27%), the skeleton (26%), and iniscellaneous in- jui’ies to the head, soft tissue, and torso ( 16%).
Mattox and coworkers documented a 400% increase in civilian cardiovascular injuries in Houston between 1958 and 1988, with 50% of all vascular inJuries over this 30-year- period occurring in the last 10 years of the study." This pat- tern may be changing with the decline in urban violence and penetrating trauma tlaat has occurred in the United States over the past decade.
Some of this increase was attributed to iatrogenic in- juries, which increased from 0.6% of all vase.ular iiajuries be- tweenl958 and 1963 to 2.3% of those between 1954 and 1988,"" with 85% of these cases occurring tin the last 5 years of the study l Youkey and coworkers also docuirtented
a 44% increase in iatrogenic vascular trauma between the periods of 1966 to 1973 and 1974 to 1982, with cardiac catheterizat ion, angiography, and surgical procedures each responsible for approximately one third of all cases." The emoi al and bracliial arteries are the iiiost commonly involved in iatrogenic vascular injuries."
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