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Published on: March 30, 2019
Brachial Artery Injuries: A Seven-year Experience with a Prospective Database
Timothy Craig Hardcastle1,2, Wayne Johnson3
1Department of Surgery, Tygerberg Hospital and University of Stellenbosch, Cape Town, South Africa. tch@sun.ac.za.
Brachial artery injuries are common limb vascular trauma, often from stab wounds. Early surgical repair leads to good outcomes, with low limb loss rates when compartment syndrome is managed promptly.
Area of Science:
- Vascular Surgery
- Trauma Management
- Orthopedic Surgery
Background:
- A prospective Trauma Vascular Registry established in 1998.
- Focus on reviewing brachial artery injuries.
Purpose of the Study:
- To analyze the characteristics and outcomes of brachial artery injuries.
- To evaluate management strategies and associated complications.
Main Methods:
- Review of a prospective registry and case notes for brachial artery injuries.
- Data collection using a standardized proforma.
Main Results:
- 177 brachial artery injuries identified, predominantly from stab wounds (73.4%).
- Mid-brachial artery most frequently injured (68.3%).
- 4 cases of limb loss (2%), with 3 presenting >6 hours post-injury.
Conclusions:
- Brachial artery injuries have a good prognosis with early repair.
- Arteriography is often unnecessary; diagnosis relies on clinical examination.
- Prompt fasciotomy is crucial for preventing limb loss in compartment syndrome.
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