A retrospective review of brachial artery injuries and repairs--is it still a "training artery"?

Injury
V PadayachyA Ramnarain

Abstract

A retrospective analysis of operatively managed brachial artery injuries spanning a five-year period from January 2003 to December 2007. The medical records of all patients who had operative management of brachial artery injuries were reviewed. Demographic data, mechanism of injury, pathology of injury, associated injuries, duration of injury, operative management and outcomes were analysed. A total of 115 patients were included in the review. Twelve patients (10.4%) were female and 103 (89.6%) were male. The mean age was 27.3 years with the oldest patient being 70 years and the youngest 13 years. Most of the injuries were caused by stabs to the brachial artery (53%). 33% were due to gunshot wounds, 11.3% were due to blunt trauma and 2.9% were due to other mechanisms of injury. The majority of injuries (58.3%) were repaired with a reverse saphenous vein graft. Most patients had a pulse restored on discharge with only 4.4% of repairs occluding and of the repairs that occluded only one patient needed an ablation. Four patients (3.5%) had an ablation due to a non-viable limb. 13.9% of patients had a fasciotomy, 54.8% had an associated peripheral nerve injury and 14.8% had an associated venous injury. Brachial artery injuries are s...Continue Reading

References

Sep 8, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·G S MohammedJ V Robbs
Sep 29, 2004·American Journal of Surgery·René ZellwegerPradeep Navsaria
Oct 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Timothy Craig Hardcastle, Wayne Johnson

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Citations

Oct 1, 2011·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·T VuL Pizano
Jul 28, 2013·The Surgical Clinics of North America·Rachael A Callcut, Matthew W Mell
Jun 4, 2015·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·R PöyhönenJ Salenius
Oct 4, 2011·Journal of Vascular Surgery·Vinesh Padayachy, John V Robbs
Jun 6, 2020·Annals of Vascular Surgery·Juan A AsensioVincent L Rowe
Jul 3, 2021·International Journal of Environmental Research and Public Health·Paweł GaćRafał Poręba

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