Traumatic injury to the blood vessels of the abdomen can be graded using the Abdominal Vascular Organ Injury Scale.
Blood Vessel |
Grade |
non-named superior mesenteric artery branches |
I |
non-named superior mesenteric vein branches |
I |
non-named inferior mesenteric artery branches |
I |
non-named superior mesenteric vein branches |
I |
phrenic artery or vein |
I |
lumbar artery or vein |
I |
gonadal artery or vein |
I |
ovarian artery or vein |
I |
other non-named small arterial or venous structures requiring ligation |
I |
right, left or common hepatic artery |
II |
splenic artery or vein |
II |
right or left gastric arteries |
II |
gastroduodenal artery |
II |
inferior mesenteric artery or trunk |
II |
inferior mesenteric vein or trunk |
II |
primary named branches of the mesenteric artery |
II |
primary named branches of the mesenteric vein |
II |
other named abdominal vessels requiring ligation or repair |
II |
superior mesenteric vein, trunk |
III |
renal artery or vein |
III |
iliac artery or vein |
III |
hypogastric artery or vein |
III |
vena cava, infra-renal |
III |
superior mesenteric artery, trunk |
IV |
celiac axis proper |
IV |
vena cava, suprarenal and infrahepatic |
IV |
aorta, infra-renal |
IV |
portal vein |
V |
extra-parenchymal hepatic vein |
V |
vena cava, retrohepatic or suprahepatic |
V |
aorta, suprarenal and subdiaphragmatic |
V |
Additional rules for deriving final grade:
(1) If more than 1 Grade III and Grade IV injuries that involve > 50% of vessel circumference are present, then increase the final Grade by 1 (to Grade IV from Grade III; to Grade V from Grade IV).
(2) If a grade IV or Grade V injury is limited to < 25% of vessel circumference, then reduce the final Grade by 1 (to Grade III from Grade IV; to Grade IV from Grade V).
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general, Cardiology
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