Subclavian and Axillary Artery Trauma: The lmportance of Associated Brachial Plexus Insury
Cemalettin Ertekin, Kayıhan Günay, Mehmet Kurdoğlu, Recep Güloğlu, Ünal Budak.
Abstract
The medical records of patients with traumatic subclavian and axillar vascular injury (SAVI) over a 5-year period (1988-92) were reviewed. A total of 12 patients were identified. The group was predominantly male (10 men/2 women) with a mean age of 32 years (range, 13-74 years). Penetrating trauma accounted for 75 % of the cases. Seven patients (58.3 °/0)*SAVI and brachial plexus injury (BPI). Patients were treated by either primary repair (5 patients-41.6 %), in- terposition graft-autogenous- (5 patients-41.6 %), interposition graft-autogenous (5 patients-41.6) or ligation (2 pa- tients-16.6 %). Overall mortality was 25 % (3 patients). No late vascular sequelae occurred related to the vascular inju- ries in 2 patients, partial recovery in 1. But two patients who had a complete BPI showed no improvement in neurologic status even in long term. Thus, associated nerve injury and functional recovery are of prime interest to the vascular trauma surgeon.
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