Brachial artery injuries: A seven-year experience with a prospective database
| dc.contributor.author | Hardcastle T.C. | |
| dc.contributor.author | Johnson W. | |
| dc.date.accessioned | 2011-05-15T16:16:22Z | |
| dc.date.available | 2011-05-15T16:16:22Z | |
| dc.date.issued | 2008 | |
| dc.description.abstract | Introduction: A Trauma Vascular Registry was established in 1998. The aim of the study was to review brachial artery injuries. Methods and Materials: Review of the prospective registry & case-notes of all identified Brachial Artery Injury. Data was captured on a proforma. Results: 177 brachial artery injuries were identified, 154 (87%) were male, 130 were due to stab wounds (73,4%) while gunshots or other sharp trauma accounted for 27 injuries (16,1%). 17 blunt injuries and 3 other injuries were noted. The mid-brachial artery was injured most frequently (113; 68,3%). Angiograms were only performed in five patients and diagnosis was by clinical examination in the remaining patients. 22% of patients had a concomitant nerve injury, while 9 had humerus fractures. Repair was by vein graft in 92 patients (52%), while a primary repair was performed in 80 (45,2%). Specialist Registrars performed 142 repairs (80,3%). Sixteen patients (9%) required forearm fasciotomy, with four cases of limb loss. Three of the cases of limb loss presented over 6 hours post-injury. Discussion and Conclusions: Brachial artery injuries are the commonest vascular injuries to the limbs, with a good prognosis, provided early repair is undertaken. Arteriography is usually unnecessary and limb loss is low, provided appropriate decompression of a compartment syndrome is performed, however in this group the limb loss rate is 25% compared to the overall of 2%. The repair of a brachial artery is a good training procedure for surgical trainees, associated with a low morbidity. © 2007 Springer. | |
| dc.description.version | Review | |
| dc.identifier.citation | European Journal of Trauma and Emergency Surgery | |
| dc.identifier.citation | 34 | |
| dc.identifier.citation | 5 | |
| dc.identifier.issn | 18639933 | |
| dc.identifier.other | 10.1007/s00068-007-7063-z | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/13755 | |
| dc.title | Brachial artery injuries: A seven-year experience with a prospective database | |
| dc.type | Review |