Civilian penetrating axillary artery injuries

Hardeep Gill; William Jenkins; Sorin Edu; Wanda Bekker; Andrew J Nicol; Pradeep H Navsaria

doi:10.1007/s00268-011-1008-8

Civilian penetrating axillary artery injuries

Hardeep Gill, William Jenkins, Sorin Edu, Wanda Bekker, Andrew J Nicol, Pradeep H Navsaria

Research output: Contribution to journal › Article › peer-review

Abstract

BACKGROUND: The surgical management and outcome of penetrating axillary artery (AA) injuries is presented.

PATIENTS AND METHODS: Patients presenting to Groote Schuur Hospital with penetrating AA injuries from January 2003 to December 2009 were reviewed. Demographic data, mechanism of injury, associated injuries, angiographic findings, surgical treatment, complications, and mortality were noted.

RESULTS: Sixty-eight patients with AA injuries were identified from an operating trauma database. Stab and gunshot wounds accounted for 54 (79.4%) and 14 injuries, respectively. The mean Revised Trauma Score was 7.5 (range: 3.8-7.8). Angiography was done in 49 patients; false aneurysms (32) and total occlusions (15) were the two commonest findings. Primary repair of the injured AA was possible in 41 (60.3%) patients. Five AA (7.4%) injuries were ligated. Morbidity was restricted to associated brachial plexus injuries. The limb salvage rate was 100%.

CONCLUSIONS: 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.

Original language	English
Pages (from-to)	962-6
Number of pages	5
Journal	World Journal of Surgery
Volume	35
Issue number	5
DOIs	https://doi.org/10.1007/s00268-011-1008-8
Publication status	Published - May 2011

Keywords

Adolescent
Adult
Aneurysm, False
Axillary Artery
Brachial Plexus
Female
Humans
Ligation
Male
Middle Aged
Retrospective Studies
Wounds, Gunshot
Wounds, Stab
Young Adult

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10.1007/s00268-011-1008-8

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title = "Civilian penetrating axillary artery injuries",

abstract = "BACKGROUND: The surgical management and outcome of penetrating axillary artery (AA) injuries is presented.PATIENTS AND METHODS: Patients presenting to Groote Schuur Hospital with penetrating AA injuries from January 2003 to December 2009 were reviewed. Demographic data, mechanism of injury, associated injuries, angiographic findings, surgical treatment, complications, and mortality were noted.RESULTS: Sixty-eight patients with AA injuries were identified from an operating trauma database. Stab and gunshot wounds accounted for 54 (79.4%) and 14 injuries, respectively. The mean Revised Trauma Score was 7.5 (range: 3.8-7.8). Angiography was done in 49 patients; false aneurysms (32) and total occlusions (15) were the two commonest findings. Primary repair of the injured AA was possible in 41 (60.3%) patients. Five AA (7.4%) injuries were ligated. Morbidity was restricted to associated brachial plexus injuries. The limb salvage rate was 100%.CONCLUSIONS: 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.",

keywords = "Adolescent, Adult, Aneurysm, False, Axillary Artery, Brachial Plexus, Female, Humans, Ligation, Male, Middle Aged, Retrospective Studies, Wounds, Gunshot, Wounds, Stab, Young Adult",

author = "Hardeep Gill and William Jenkins and Sorin Edu and Wanda Bekker and Nicol, {Andrew J} and Navsaria, {Pradeep H}",

year = "2011",

month = may,

doi = "10.1007/s00268-011-1008-8",

language = "English",

volume = "35",

pages = "962--6",

journal = "World Journal of Surgery",

issn = "0364-2313",

publisher = "Springer New York",

number = "5",

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T1 - Civilian penetrating axillary artery injuries

AU - Gill, Hardeep

AU - Jenkins, William

AU - Edu, Sorin

AU - Bekker, Wanda

AU - Nicol, Andrew J

AU - Navsaria, Pradeep H

PY - 2011/5

Y1 - 2011/5

N2 - BACKGROUND: The surgical management and outcome of penetrating axillary artery (AA) injuries is presented.PATIENTS AND METHODS: Patients presenting to Groote Schuur Hospital with penetrating AA injuries from January 2003 to December 2009 were reviewed. Demographic data, mechanism of injury, associated injuries, angiographic findings, surgical treatment, complications, and mortality were noted.RESULTS: Sixty-eight patients with AA injuries were identified from an operating trauma database. Stab and gunshot wounds accounted for 54 (79.4%) and 14 injuries, respectively. The mean Revised Trauma Score was 7.5 (range: 3.8-7.8). Angiography was done in 49 patients; false aneurysms (32) and total occlusions (15) were the two commonest findings. Primary repair of the injured AA was possible in 41 (60.3%) patients. Five AA (7.4%) injuries were ligated. Morbidity was restricted to associated brachial plexus injuries. The limb salvage rate was 100%.CONCLUSIONS: 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.

AB - BACKGROUND: The surgical management and outcome of penetrating axillary artery (AA) injuries is presented.PATIENTS AND METHODS: Patients presenting to Groote Schuur Hospital with penetrating AA injuries from January 2003 to December 2009 were reviewed. Demographic data, mechanism of injury, associated injuries, angiographic findings, surgical treatment, complications, and mortality were noted.RESULTS: Sixty-eight patients with AA injuries were identified from an operating trauma database. Stab and gunshot wounds accounted for 54 (79.4%) and 14 injuries, respectively. The mean Revised Trauma Score was 7.5 (range: 3.8-7.8). Angiography was done in 49 patients; false aneurysms (32) and total occlusions (15) were the two commonest findings. Primary repair of the injured AA was possible in 41 (60.3%) patients. Five AA (7.4%) injuries were ligated. Morbidity was restricted to associated brachial plexus injuries. The limb salvage rate was 100%.CONCLUSIONS: 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.

KW - Adolescent

KW - Adult

KW - Aneurysm, False

KW - Axillary Artery

KW - Brachial Plexus

KW - Female

KW - Humans

KW - Ligation

KW - Male

KW - Middle Aged

KW - Retrospective Studies

KW - Wounds, Gunshot

KW - Wounds, Stab

KW - Young Adult

U2 - 10.1007/s00268-011-1008-8

DO - 10.1007/s00268-011-1008-8

M3 - Article

C2 - 21360307

VL - 35

SP - 962

EP - 966

JO - World Journal of Surgery

JF - World Journal of Surgery

SN - 0364-2313

IS - 5

ER -

Civilian penetrating axillary artery injuries

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Keywords

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