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European Journal of Trauma and Emergency Surgery

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01-10-2011 | Review Article

Brachial vessel injuries: high morbidity and low mortality injuries

Authors: T. Vu, J. A. Asensio, F. N. Mazzini, J. D. Sciarretta, J. Chandler, E. H. Lieberman, M. Ksycki, L. Pizano

Published in: European Journal of Trauma and Emergency Surgery | Issue 5/2011

Abstract

Introduction

Reports of arterial injuries from both the civilian and military arenas report the brachial artery as the most frequently injured vessel, accounting for approximately 25–33% of all peripheral arterial injuries. The brachial artery is surrounded by important peripheral nerves —the median, ulnar and radial, and also parallels the humerus and associated veins. Due to its close proximity to these structures, associated nerve and osseous injuries are frequent with residual neuropathy from such nerve injuries, often the main sources of permanent disability.

Materials and methods

Systematic review of the literature, with emphasis in the diagnosis, treatment and outcomes of these injuries, incorporating the authors experience.

Conclusions

The morbidity and mortality rates associated with brachial artery injuries depend on the cause of the injury itself, which vein or tendon is injured, and whether musculoskeletal and nerve injuries are also present. During the last 20 years, amputation associated with upper extremity arterial injuries has decreased to a rate of 3% because of advances in the treatment of shock, the use of antibiotic therapy, and increased surgical experience.

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Title: Brachial vessel injuries: high morbidity and low mortality injuries
Authors: T. Vu
J. A. Asensio
F. N. Mazzini
J. D. Sciarretta
J. Chandler
E. H. Lieberman
M. Ksycki
L. Pizano
Publication date: 01-10-2011
Publisher: Springer-Verlag
Published in: European Journal of Trauma and Emergency Surgery / Issue 5/2011
Print ISSN: 1863-9933
Electronic ISSN: 1863-9941
DOI: https://doi.org/10.1007/s00068-011-0143-0

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Brachial vessel injuries: high morbidity and low mortality injuries

Abstract

Introduction

Materials and methods

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Materials and methods

Conclusions

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