Upper-Extremity Vascular Injuries
- 1 August 1988
- journal article
- review article
- Published by Elsevier BV in Surgical Clinics of North America
- Vol. 68 (4), 725-740
- https://doi.org/10.1016/s0039-6109(16)44582-2
Abstract
Although upper-extremity injuries alone are usually not life-threatening, they can produce significant immediate or long-term morbidity, especially if there is an associated nerve injury. The diagnosis of an arterial injury may be readily apparent, but the excellent upper-extremity collateral circulation may create palpable distal pulses despite a significant proximal arterial injury. Therefore, a high index of suspicion and the liberal use of arteriography are necessary to avoid missing these injuries. Compression of the brachial plexus by a hematoma can produce a serious neurologic deficit. Prompt evacuation of the hematoma may significantly reduce the deficit, another fact that supports an aggressive surgical approach in these patients. The long-term results of upper-extremity vascular injuries are usually determined by the extent of any associated nerve injuries.Keywords
This publication has 20 references indexed in Scilit:
- Five-year Experience with PTFE Grafts in Vascular WoundsJournal Of Trauma-Injury Infection and Critical Care, 1985
- Blunt trauma to the axillary arteryJournal of Vascular Surgery, 1984
- Routine Surgical Management of Brachial Artery Occlusion After Cardiac CatheterizationArchives of Surgery, 1982
- Vascular Injuries of the AxillaAnnals of Surgery, 1982
- Management of Subclavian Vascular InjuriesJournal Of Trauma-Injury Infection and Critical Care, 1980
- COMPRESSION NEUROPATHY FOLLOWING BRACHIAL ARTERIAL PUNCTURE IN ANTICOAGULATED PATIENTSJournal Of Trauma-Injury Infection and Critical Care, 1976
- Arterial occlusion after cannulation.BMJ, 1975
- Complications of Percutaneous Radial-artery Cannulation: An Objective Prospective Study in ManAnesthesiology, 1973
- Severe Ischemia of the HandAnnals of Surgery, 1971
- BATTLE INJURIES OF THE ARTERIES IN WORLD WAR IIAnnals of Surgery, 1946