The term vascular trauma refers to injury to a blood vessel an artery which carries blood to an extremity or an organ or a vein which returns blood to the heart vascular surgeons categorize these injuries by the type of trauma that caused them blunt or penetrating injury. Vascular injury in trauma the vascular system is made up of vessels that carry blood throughout the body arteries and veins carry this blood to and this type of injury requires physical therapy along with a chance of surgery symptoms of a blood clot include. Vascular injuries trends in management vascular injury presents a great challenge to the emergency resident because these injuries require urgent intervention to prevent loss of life or limb sometimes serious vascular injury presents with only subtle or occult signs or symptoms the patient may present weeks or months after . Endovascular management of peripheral vascular trauma chatt a johnson md facs 1 evis for peripheral vascular injury have proven effective in three anatomic regions the neck subclavian and lower extremity regions vascular injuries in zone 1 and zone 3 are difficult to efficiently expose surgically and warrant consideration