Traumatismos não iatrogénicos da artéria braquial.
Brachial artery trauma are treated quite frequently in the emergency units. Between January 1987 and December 1990 we studied prospectively 50 patients with brachial artery trauma at the Hospital das Clinicas, of University of Sao Paulo. The patients mean age ranged from 2 to 64 years. Males were pr...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ordem dos Médicos
1994-01-01
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| Series: | Acta Médica Portuguesa |
| Online Access: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2827 |
| _version_ | 1797996216771936256 |
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| author | N Wolosker A Gaudêncio P C Guimarães S Kuzniec D Cunha e Sá R Aun B Langer |
| author_facet | N Wolosker A Gaudêncio P C Guimarães S Kuzniec D Cunha e Sá R Aun B Langer |
| author_sort | N Wolosker |
| collection | DOAJ |
| description | Brachial artery trauma are treated quite frequently in the emergency units. Between January 1987 and December 1990 we studied prospectively 50 patients with brachial artery trauma at the Hospital das Clinicas, of University of Sao Paulo. The patients mean age ranged from 2 to 64 years. Males were predominant with 46 patients. Most of them were white (66%). Penetrating injuries were the most frequent. Most of these injuries were caused by gunshot wounds or stabing. Absence of distal palpable pulses was the predominant finding among the clinical features (94%). 74% of the patients do not present important ischemia. The right side was more affected (34 patients). 14 patients had concomitant nerve injury. 35 patients (70%) were submitted to arterial reconstruction with saphenous vein. 12 patients (24%) had end-to-end vascular anastomoses. 3 patients (6%) were submitted to brachial artery ligation. 2 patients underwent simultaneous median nerve repair. In 3 patients we used fasciotomy. 6 patients developed arterial occlusion following vascular reconstruction and in one of them it was necessary to perform amputation. 2 patients had wound infection with saphenous vein repair disruption. Both were treated with brachial artery ligation and one underwent amputation. One patient died on the post operative period owing to associated lesions. Limb preservation was achieved in 47 patients (94%). 33 (70.2%) had no neurological deficit and 14 (29.7%) had some degree of neurological deficit. None of the patients had venous hypertension at the time of discharge. |
| first_indexed | 2024-04-11T10:14:18Z |
| format | Article |
| id | doaj.art-a41b383355534cf9ae51f2d2d18af546 |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-04-11T10:14:18Z |
| publishDate | 1994-01-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-a41b383355534cf9ae51f2d2d18af5462022-12-22T04:30:01ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07581994-01-017110.20344/amp.2827Traumatismos não iatrogénicos da artéria braquial.N Wolosker0A GaudêncioP C GuimarãesS KuzniecD Cunha e SáR AunB LangerDepartamento de Cirurgia Vascular, Hospital das Clínicas da Faculdade de Medicina, Universidade de São Paulo, Brasil.Brachial artery trauma are treated quite frequently in the emergency units. Between January 1987 and December 1990 we studied prospectively 50 patients with brachial artery trauma at the Hospital das Clinicas, of University of Sao Paulo. The patients mean age ranged from 2 to 64 years. Males were predominant with 46 patients. Most of them were white (66%). Penetrating injuries were the most frequent. Most of these injuries were caused by gunshot wounds or stabing. Absence of distal palpable pulses was the predominant finding among the clinical features (94%). 74% of the patients do not present important ischemia. The right side was more affected (34 patients). 14 patients had concomitant nerve injury. 35 patients (70%) were submitted to arterial reconstruction with saphenous vein. 12 patients (24%) had end-to-end vascular anastomoses. 3 patients (6%) were submitted to brachial artery ligation. 2 patients underwent simultaneous median nerve repair. In 3 patients we used fasciotomy. 6 patients developed arterial occlusion following vascular reconstruction and in one of them it was necessary to perform amputation. 2 patients had wound infection with saphenous vein repair disruption. Both were treated with brachial artery ligation and one underwent amputation. One patient died on the post operative period owing to associated lesions. Limb preservation was achieved in 47 patients (94%). 33 (70.2%) had no neurological deficit and 14 (29.7%) had some degree of neurological deficit. None of the patients had venous hypertension at the time of discharge.https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2827 |
| spellingShingle | N Wolosker A Gaudêncio P C Guimarães S Kuzniec D Cunha e Sá R Aun B Langer Traumatismos não iatrogénicos da artéria braquial. Acta Médica Portuguesa |
| title | Traumatismos não iatrogénicos da artéria braquial. |
| title_full | Traumatismos não iatrogénicos da artéria braquial. |
| title_fullStr | Traumatismos não iatrogénicos da artéria braquial. |
| title_full_unstemmed | Traumatismos não iatrogénicos da artéria braquial. |
| title_short | Traumatismos não iatrogénicos da artéria braquial. |
| title_sort | traumatismos nao iatrogenicos da arteria braquial |
| url | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/2827 |
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