Sarcouncil Journal of Medical Sciences

Abstract: Purpose Delayed presentation about major vascular injury is very common in developing countries because of limited vascular trauma units. Diagnosis delay and time lost in transfer pose a major challenge for the salvation of the limb. The objective of this study is to enroll patients' data and analyze the outcomes related to revascularization of post-traumatic delayed due to limb ischemia.Method: A total of 120 patients with lower limb ischemia who underwent revascularization were included in the study. The clinical data were collected during a one-year follow-up period from February 2024 to February 2025 in different hospitals in Iraq. In this cross-sectional study, clinical outcomes were compared between two groups: early-stage (60 patients) and late-stage (60 patients). A comparative analysis of clinical outcomes was conducted between the two groups, with specific attention devoted to the assessment of mortality, limb salvage, and quality of life. Results :A comparative analysis was conducted on the clinical outcomes of revascularization in both groups (n = 120) following traumatic injuries. According to the findings of the early limb ischemia group, the level of occlusion, including femoropopliteal, was found to be 54 cases (90%), 57 out of 60 cases were limb salvage rate, mortality rate was 0%, length of stay in the hospital was 5.3 ± 1.4 days, post-procedure complications had 10%, and sitting mobility after revascularization had 2.8 ± 0.06. According to the delayed limb ischemia group, the outcomes demonstrated that 48 cases (80%) of femoropopliteal lesions were successfully salvaged, while the mortality rate was 20%. The mean hospital stay was 8.5 ± 1.2 days, and 35% of patients experienced post-procedural complications. Following revascularization, sitting mobility was 1.0 ± 0.2.Conclusion: Although revascularization after delayed limb ischemia is difficult, there are several circumstances in which treatment might be beneficial. According to this study, effective limb salvage is still possible even after extended ischemia, even if early intervention is preferable, as long as suitable surgical procedures and diligent monitoring are used.