Civilian Penetrating Axillary Artery Injuries

Gill, Hardeep Singh; Jenkins, William A.; Edu, Sorin; Bekker, W; Nicol, Andrew; Navsaria, Pradeep

doi:10.1007/s00268-011-1008-8

Cited by 21 publications

(11 citation statements)

References 25 publications

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“…El trauma vascular debe ser identificado y manejado de manera eficiente, de lo contrario puede conducir a la pérdida de una extremidad o hasta la vida del paciente [1][2][3][4] . Para esto es primordial no retrasar el diagnóstico 4 .…”

Section: Discussionunclassified

Section: Introductionunclassified

“…El trauma vascular puede tener graves consecuencias, tales como la amputación de una extremidad o la muerte del paciente [1][2][3][4] . Las lesiones vasculares de extremidades superiores representan el 30% de todos los traumas vasculares 4,5 , siendo la principal etiología el trauma penetrante 2,6 . De estos, las lesiones de arteria axilar o subclavia son poco frecuen-tes 1,4,6,7 representando menos de un 5% de todos los traumas vasculares en civiles, sin embargo, a pesar de su limitada frecuencia, estas lesiones se asocian a tasas de morbilidad y mortalidad que van del 5% a 39% 8 .…”

Section: Introductionunclassified

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Reparación de sección de arteria axilar por trauma vascular secundario a herida por arma blanca: a propósito de un caso

et al. 2018

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To present a clinical case and discuss the management of axillary artery trauma and to review current literature. Clinical case: Male patient with axillary artery injury, who is brought in hypovolemic shock to the Emergency Department. Surgical findings demonstrated an incomplete section of the second portion of the axillary artery which was repaired with primary end-to-end anastomosis. Postoperatively, the patient evolves without pain and is discharged. Discussion: The management of vascular trauma should be methodical and multidisciplinary. Hard signs of vascular trauma mandate immediate surgical exploration. Patients with soft signs may need further evaluation with images. In an incomplete section of the axillary artery the end-to-end anastomosis has shown good results. Conclusions: Axillary artery lesions in the context of trauma are infrequent. Its management requires a high index of suspicion, a multidisciplinary approach and adequate surgical access.

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Section: Discussionunclassified

Section: Introductionunclassified

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Reparación de sección de arteria axilar por trauma vascular secundario a herida por arma blanca: a propósito de un caso

et al. 2018

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“…Although concomitant first rib or clavicle injury may occur in up to 14% of cases, significant morbidity is associated with brachial plexus injury [4, 10–13]. Up to 28% of patients will also have intrathoracic injuries, and the presence of both venous and arterial injuries is associated with significant mortality [4].…”

Section: Discussionmentioning

confidence: 99%

Penetrating Neck Injury to the Superior Thoracic Artery Managed by Video-Assisted Thoracoscopic Surgery

Wong

Gordy

Schreiber

et al. 2013

Case Reports in Surgery

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Penetrating trauma to the axillary artery and its branches is uncommon and associated with high morbidity and mortality. Open exploration is mandated in hemodynamically unstable patients, but surgical exposure can be difficult due to the concentration of vital structures and complex anatomy in this region. Computed tomographic angiography is a potential diagnostic modality in hemodynamically stable patients. In these patients, endovascular therapies may provide a feasible means of controlling hemorrhage while minimizing surgical complications. A high incidence of concomitant intrathoracic injury has resulted in an expanding role for video-assisted thoracoscopic surgery. In this paper, we present a case of penetrating injury to the superior thoracic artery that was not amenable to endovascular therapy and was ultimately managed with thoracoscopic surgery.

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“…Penetrating trauma of the upper extremities leading to vascular injuries is more common than blunt injuries in both military and civilian population; the incidence of penetrating trauma in upper limb vascular injuries varies from 60 to 90% as reported in various studies in literature [5, 6]. Gunshot injuries, stab with a sharp weapon, and missile injuries constitute the majority of penetrating injuries.…”

Section: Introductionmentioning

confidence: 99%

Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

Goyal

Sharma

Kalia

et al. 2014

Case Reports in Surgery

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Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.

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Civilian Penetrating Axillary Artery Injuries

Abstract: Primary repair of AA injuries was possible in 60% of patients, and ligation was life-saving in critically ill patients. The associated brachial plexus injury was the cause of major long-term morbidity.

Cited by 21 publications

References 25 publications

Reparación de sección de arteria axilar por trauma vascular secundario a herida por arma blanca: a propósito de un caso

Reparación de sección de arteria axilar por trauma vascular secundario a herida por arma blanca: a propósito de un caso

Penetrating Neck Injury to the Superior Thoracic Artery Managed by Video-Assisted Thoracoscopic Surgery

Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

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