An analysis of 124 surgically managed brachial artery injuries

A 3-year review of surgically managed brachial artery injuries is presented. The medical records were analyzed for demographic data, mechanism of injury, associated injuries, treatment, and outcome. There were 113 males and 11 females with a mean age of 28.7 years. The majority of the injuries were...

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Bibliographic Details
Published in:The American journal of surgery 2004-09, Vol.188 (3), p.240-245
Main Authors: Zellweger, René, Hess, Florian, Nicol, Andrew, Omoshoro-Jones, Jones, Kahn, Delawir, Navsaria, Pradeep
Format: Article
Language:English
Subjects:
Adolescent
Adult
Amputation
Arm Injuries - diagnosis
Arm Injuries - etiology
Arm Injuries - surgery
Biological and medical sciences
Blood pressure
Blood transfusions
Brachial artery
Brachial Artery - injuries
Brachial Artery - surgery
Coronary vessels
Elbow
Fasciotomy
Female
Fistula
General aspects
Gunshot
Hematoma
Hemoglobin
Humans
Injuries
Ischemia
Male
Medical imaging
Medical sciences
Middle Aged
Penetrating trauma
Pseudoaneurysm
Retrospective Studies
South Africa
Stab wound
Surgery
Thrombosis
Time Factors
Trauma
Trauma, Nervous System - etiology
Treatment Outcome
Vascular Surgical Procedures - methods
Veins & arteries
Wounds, Penetrating - complications
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Summary:A 3-year review of surgically managed brachial artery injuries is presented. The medical records were analyzed for demographic data, mechanism of injury, associated injuries, treatment, and outcome. There were 113 males and 11 females with a mean age of 28.7 years. The majority of the injuries were caused by stab and gunshot wounds in 57.3% and 29%, respectively. Primary anastomosis was possible in 47 patients, whereas 73 patients required vein interposition grafting. Lower arm fasciotomy was performed in 15 patients (12.1%). Associated injuries included peripheral nerve lesions in 77 (62.1%), nonpaired brachial vein injuries in 17 (13.7%), and concomitant humerus fracture in 12 (9.7%) patients. Thirty-nine patients (31.5%) had remote injuries. The primary repair of penetrating brachial artery injuries was possible in approximately one third of the patients. Approximately two thirds of the patients had associated nerve lesions. Critical limb ischemia rarely occurred.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2004.02.005