Civilian vascular trauma of the upper extremity

Michael B. Orcutt, Barry A. Levine, Harold V. Gaskill, Kenneth R. Sirinek

Research output: Contribution to journalArticle

52 Scopus citations

Abstract

One hundred forty-three patients with 163 upper extremity vascular injuries were reviewed. Penetrating trauma accounted for 94% of the injuries and blunt trauma for 6%. Absent pulses are not a completely reliable sign of upper extremity arterial injury. The most frequently injured upper extremity vessel is the brachial artery, followed in decreasing frequency by ulnar, radial, and axillary arterial injuries and axillary venous injuries. The most common technique of vascular repair was end-to-end anastomosis, followed by vein graft interposition. No amputations were required. Despite excellent results of vascular reconstruction, functional impairment due to associated nerve injuries was a distressingly predominant finding.

Original languageEnglish (US)
Pages (from-to)63-67
Number of pages5
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume26
Issue number1
DOIs
StatePublished - Jan 1986

ASJC Scopus subject areas

  • Surgery
  • Critical Care and Intensive Care Medicine

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