Brachial artery injuryanalysis of 80 case

Abstract EN

Brachial artery injury is a common vascular injury whether it's caused by penetrating, blunt or iatrogenic injuries .This is a retro and prospective study of 80 patients admitted at Al-Diwaniya Teaching Hospital from 1st April , 2004 to 30th April, 2007 .Our aim behind this study is to focus on the management and it's sequelae .The most common mechanism of injury was bullet injury (50 %) , followed by blunt (27.5 %), stab wounds (16.25 %) , iatrogenic factors (5 %) and rarely by thermal injury .The technique of repair was by venous graft in the majority of cases (60 %) and we needed arteriorraphy in (22.5 %) , end to end anastomosis in (15 %) and ligation in (2.5 %) .

There was no need for fasciotomy and all its associated injured veins were ligated. Although our results were good we had mortality (5%) due to associated injuries , and morbidity with joint stiffness represents a problem as a result of delayed physiotherapy post repair.