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An analysis of 124 surgically managed brachial artery injuries.
Am J Surg. 2004 Sep; 188(3):240-5.AJ

Abstract

BACKGROUND

A 3-year review of surgically managed brachial artery injuries is presented.

METHODS

The medical records were analyzed for demographic data, mechanism of injury, associated injuries, treatment, and outcome.

RESULTS

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.

CONCLUSIONS

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.

Authors+Show Affiliations

Department of Surgery, University of Cape Town, Trauma Unit-C14, Groote Schuur Hospital, Observatory, Cape Town 7925, South Africa.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15450827

Citation

Zellweger, René, et al. "An Analysis of 124 Surgically Managed Brachial Artery Injuries." American Journal of Surgery, vol. 188, no. 3, 2004, pp. 240-5.
Zellweger R, Hess F, Nicol A, et al. An analysis of 124 surgically managed brachial artery injuries. Am J Surg. 2004;188(3):240-5.
Zellweger, R., Hess, F., Nicol, A., Omoshoro-Jones, J., Kahn, D., & Navsaria, P. (2004). An analysis of 124 surgically managed brachial artery injuries. American Journal of Surgery, 188(3), 240-5.
Zellweger R, et al. An Analysis of 124 Surgically Managed Brachial Artery Injuries. Am J Surg. 2004;188(3):240-5. PubMed PMID: 15450827.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - An analysis of 124 surgically managed brachial artery injuries. AU - Zellweger,René, AU - Hess,Florian, AU - Nicol,Andrew, AU - Omoshoro-Jones,Jones, AU - Kahn,Delawir, AU - Navsaria,Pradeep, PY - 2003/08/22/received PY - 2004/02/20/revised PY - 2004/9/29/pubmed PY - 2004/10/28/medline PY - 2004/9/29/entrez SP - 240 EP - 5 JF - American journal of surgery JO - Am J Surg VL - 188 IS - 3 N2 - BACKGROUND: A 3-year review of surgically managed brachial artery injuries is presented. METHODS: The medical records were analyzed for demographic data, mechanism of injury, associated injuries, treatment, and outcome. RESULTS: 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. CONCLUSIONS: 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. SN - 0002-9610 UR - https://www.unboundmedicine.com/medline/citation/15450827/An_analysis_of_124_surgically_managed_brachial_artery_injuries_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002961004002089 DB - PRIME DP - Unbound Medicine ER -