Short-term results of surgical treatment of brachial artery injuries in patients with upper limb injury

Abstract

The OBJECTIVE was to study the short-term results of surgical treatment of patients with brachial artery injury in peacetime upper limb injury.METHODS AND MATERIALS. This study presents the short-term results of surgical treatment of 61 patients with brachial artery injury in peacetime upper limb injury. The study included 33 patients who were admitted to the City Hospital of St. Martyr Elizabeth in St. Petersburg from 2011 to 2022 and 28 patients who were admitted to Hospitals in the Leningrad Region from 2017 to 2022.RESULTS. All 61 patients underwent emergency surgery: autovenous prosthetics of the brachial artery was performed in 46 patients, an end-to-end anastomosis was formed in 10 patients, and a lateral suture was applied to 5 patients. In the early postoperative period, there were 3 thrombosis of the reconstruction zone, 1 amputation of a limb, 1 fatal outcome from severe blood loss.CONCLUSION. Upper limb injury with brachial artery injury without specialized assistance can lead to disability and even death of a patient, therefore requires emergency intervention by a vascular surgeon to stop bleeding, restore the main blood flow and stop limb ischemia.

Keywords

• arterial injury
• brachial artery
• vascular suture
• limb ischemia