Brachial vessel injuries

High morbidity and low mortality injuries

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

Research output: Contribution to journalReview article

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.

Original languageEnglish
Pages (from-to)459-467
Number of pages9
JournalEuropean Journal of Trauma and Emergency Surgery
Volume37
Issue number5
DOIs
StatePublished - Oct 2011
Externally publishedYes

Fingerprint

Arm Injuries
Morbidity
Mortality
Wounds and Injuries
Brachial Artery
Veins
Humerus
Peripheral Nerves
Amputation
Upper Extremity
Tendons
Shock
Anti-Bacterial Agents

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine
  • Critical Care and Intensive Care Medicine
  • Emergency Medicine

Cite this

Vu, T., Asensio, J. A., Mazzini, F. N., Sciarretta, J. D., Chandler, J., Lieberman, E. H., ... Pizano, L. (2011). Brachial vessel injuries: High morbidity and low mortality injuries. European Journal of Trauma and Emergency Surgery, 37(5), 459-467. https://doi.org/10.1007/s00068-011-0143-0

Brachial vessel injuries : High morbidity and low mortality injuries. / Vu, T.; Asensio, Juan A.; Mazzini, F. N.; Sciarretta, J. D.; Chandler, J.; Lieberman, E. H.; Ksycki, M.; Pizano, L.

In: European Journal of Trauma and Emergency Surgery, Vol. 37, No. 5, 10.2011, p. 459-467.

Research output: Contribution to journalReview article

Vu, T, Asensio, JA, Mazzini, FN, Sciarretta, JD, Chandler, J, Lieberman, EH, Ksycki, M & Pizano, L 2011, 'Brachial vessel injuries: High morbidity and low mortality injuries', European Journal of Trauma and Emergency Surgery, vol. 37, no. 5, pp. 459-467. https://doi.org/10.1007/s00068-011-0143-0
Vu, T. ; Asensio, Juan A. ; Mazzini, F. N. ; Sciarretta, J. D. ; Chandler, J. ; Lieberman, E. H. ; Ksycki, M. ; Pizano, L. / Brachial vessel injuries : High morbidity and low mortality injuries. In: European Journal of Trauma and Emergency Surgery. 2011 ; Vol. 37, No. 5. pp. 459-467.
@article{c3fe13ef4233470aae10297c363367ec,
title = "Brachial vessel injuries: High morbidity and low mortality injuries",
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.",
author = "T. Vu and Asensio, {Juan A.} and Mazzini, {F. N.} and Sciarretta, {J. D.} and J. Chandler and Lieberman, {E. H.} and M. Ksycki and L. Pizano",
year = "2011",
month = "10",
doi = "10.1007/s00068-011-0143-0",
language = "English",
volume = "37",
pages = "459--467",
journal = "European Journal of Trauma and Emergency Surgery",
issn = "1863-9933",
publisher = "Urban und Vogel",
number = "5",

}

TY - JOUR

T1 - Brachial vessel injuries

T2 - High morbidity and low mortality injuries

AU - Vu, T.

AU - Asensio, Juan A.

AU - Mazzini, F. N.

AU - Sciarretta, J. D.

AU - Chandler, J.

AU - Lieberman, E. H.

AU - Ksycki, M.

AU - Pizano, L.

PY - 2011/10

Y1 - 2011/10

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=80255135491&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=80255135491&partnerID=8YFLogxK

U2 - 10.1007/s00068-011-0143-0

DO - 10.1007/s00068-011-0143-0

M3 - Review article

VL - 37

SP - 459

EP - 467

JO - European Journal of Trauma and Emergency Surgery

JF - European Journal of Trauma and Emergency Surgery

SN - 1863-9933

IS - 5

ER -