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[Vascular trauma of the upper extremities]
G Pulcini1, G M Ottaviani, G P Lancini
1Cattedra di Semeiotica Chirurgica, Università degli Studi di Brescia, Spedali Civili di Brescia.
Il Giornale Di Chirurgia
|December 29, 2000
Summary
Vascular trauma in the upper extremities can be successfully treated, achieving high limb salvage rates. Associated brachial plexus injuries, not ischemic time or repair technique, significantly impact long-term functional outcomes.
Area of Science:
- Vascular Surgery
- Trauma Management
- Reconstructive Surgery
Context:
- Upper extremity vascular trauma presents complex challenges in treatment and functional recovery.
- Retrospective analysis of 17 patients with 21 vascular lesions (16 arterial, 5 venous) was conducted.
Purpose:
- To evaluate short- and long-term outcomes of upper extremity vascular trauma treatment.
- To identify factors influencing limb salvage and residual functional disability.
Summary:
- High limb salvage rates (93.7% for arterial injuries) were achieved in the study cohort.
- Peri-operative mortality was 5.8%. All patients achieved limb salvage.
- Associated brachial plexus injuries were identified as the primary cause of significant functional deficits.
Impact:
- Findings highlight the critical role of neurological assessment and management in conjunction with vascular repair.
- This study informs surgical strategies prioritizing functional recovery in upper extremity vascular trauma patients.