This paper is only available as a PDF. To read, Please Download here.
Abstract
This is a retrospective study of 72 patients with non-iatrogenic penetrating injuries
of the brachial artery treated between 1991 and 1993. The mechanism of injury was
stabbing in 39 per cent, a bullet in 51 per cent, pellets in 4 per cent and a dog
bite in 6 per cent. We believe that angiography is rarely indicated, as in all our
patients the diagnosis was made on clinical grounds. The proximity of the injury to
neurovascular bundles was a poor predictor of arterial injury. One month after discharge
95 per cent of the patients had palpable distal pulses. Long-term morbidity is mainly
attributed to associated nerve injuries.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to InjuryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Penetrating injuries of the subclavian vessels.Br J Surg. 1994; 81: 524
- Penetrating injuries of the popliteal artery: The Baragwanath experience.Ann R Coll Surg Engl. 1994; 76: 307
- Penetrating injuries of the femoral artery.Br J Surg. 1994; (in press)
- 5th Ed. Advanced Trauma Life Support. ASC, Chicago1992
- Management of arterial injuries.Ann Surg. 1971; 173: 403
- Acute arterial injuries in Vietnam: 1000 cases.J Trauma. 1970; 12: 459
- Vascular injuries: experience during the Afghanistan War.Int Surg. 1992; 77: 114
- Civilian arterial trauma of the upper extremity. An 11 year experience of 267 patients.Am J Surg. 1984; 148: 796
- Brachial artery injury after cardiac catheterization.J Vasc Surg. 1986; 4: 355
- Upper-extremity vascular injuries.Surg Clin North Am. 1988; 68: 726
- Vascular injuries of the extremities.in: Rutherford RB Vascular Surgery. WB Saunders, Philadelphia1989: 613-637
- Advances in treatment of vascular injuries for blunt and penetrating limb trauma.World J Surg. 1992; 16: 930
- The natural history of clinically occult arterial injuries: a prospective evaluation.J Trauma. 1989; 29: 577
- A reassessment in penetrating proximity extremity trauma: a prospective study.J Trauma. 1989; 31: 402
- The reliability of physical examination in the evaluation of penetrating extremity trauma for vascular injury: results at one year.J Trauma. 1991; 31: 502
- Five-year experience with PTFE grafts in vascular wounds.J Trauma. 1985; 25: 71
- Traumatic arterial injuries of the upper extremity: determinants of disability.Am J Surg. 1985; 150: 266
- Nerve injury associated with acute vascular trauma.Surg Clin North Am. 1988; 68: 837
- Nerve injuries affecting the hand, comparative study: war versus civilian injuries.Orthop Rev. 1981; 10: 81
- Traumatic injuries of the brachial artery.Am J Surg. 1988; 156: 553
- Clinical and angiographic findings in extremity arterial injuries secondary to dog bites.Ann Emerg Med. 1990; 60: 983
Article info
Publication history
Accepted:
January 4,
1995
Identification
Copyright
© 1995 Published by Elsevier Inc.
