scholarly journals Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Vikas Deep Goyal ◽  
Vipin Sharma ◽  
Sandeep Kalia ◽  
Manik Sehgal
Keyword(s):  
Upper Limb ◽  
Vein Graft ◽  
Proximal Humerus ◽  
Surgical Intervention ◽  
Axillary Artery ◽  
Basilic Vein ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Humerus Fractures ◽  
Left Axillary Artery

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.

Proximal Humerus Fractures With Associated Axillary Artery Injury

2014 ◽  
Vol 28 (11) ◽  
pp. 659-663 ◽  
Author(s):  
Robert Thorsness ◽  
Christopher English ◽  
Jonathan Gross ◽  
Wakenda Tyler ◽  
Ilya Voloshin ◽  
...  
Keyword(s):  
Proximal Humerus ◽  
Axillary Artery ◽  
Proximal Humerus Fractures ◽  
Artery Injury ◽  
Humerus Fractures

Axillary artery injury associated with proximal humerus fractures

VASA ◽  
2008 ◽  
Vol 37 (3) ◽  
pp. 274-277 ◽  
Author(s):  
Mouzopoulos ◽  
Lasanianos ◽  
Mouzopoulos ◽  
Tzurbakis ◽  
Georgilas
Keyword(s):  
Blunt Trauma ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Penetrating Trauma ◽  
Shoulder Girdle ◽  
Shoulder Injury ◽  
Industrial Accidents ◽  
Artery Injury ◽  
Humerus Fractures ◽  
Low Incidence

Penetrating trauma is the primary cause of upper extremity vascular injury almost in 95% of cases. Blunt trauma due to traffic or industrial accidents and falls account for the remaining 5% to 10%. However axillary artery injury from blunt trauma to the shoulder is extremely rare. The location of the axillary artery, surrounded by the bones and muscles of the shoulder girdle, explains the low incidence of trauma suffered by this arterial segment. But its anatomical proximity to the humeral head makes it quite vulnerable to blunt trauma during shoulder injury. Herein we report two cases of axillary artery injury after proximal humerus fracture, discussing their diagnosis and management.

scholarly journals Axillary artery injury and brachial plexus palsy as a complication of proximal humerus fractures

2017 ◽  
Vol 14 (3) ◽  
pp. 340-341 ◽  
Author(s):  
G. Bucci ◽  
G. Lucar-López ◽  
J. Sanchez-Gonzalez ◽  
F. Malagelada ◽  
J. Palencia Lopez ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Proximal Humerus Fractures ◽  
Brachial Plexus Palsy ◽  
Artery Injury ◽  
Humerus Fractures

axillary artery injury following a closed fracture of the proximal humerus

2005 ◽  
Vol 5 (3-4) ◽  
pp. 147-149 ◽  
Author(s):  
f. lam ◽  
i. kurta ◽  
s. hussain
Keyword(s):  
Literature Review ◽  
Rare Case ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Diagnosis And Treatment ◽  
Humerus Fracture ◽  
Closed Fracture ◽  
Artery Injury ◽  
Prompt Diagnosis

a rare case of axillary artery injury following a displaced surgical neck of humerus fracture is presented. the epidemiology and pathoanatomy of the condition are described. a literature review is presented emphasising the need for prompt diagnosis and treatment.

scholarly journals Bidirectional endovascular treatment for axillary artery injury secondary to proximal humerus fracture: a case report

2021 ◽  
Author(s):  
Daisuke Kanda ◽  
Itsumi Imagama ◽  
Yutaka Imoto ◽  
Mitsuru Ohishi
Keyword(s):  
Surgical Treatment ◽  
Endovascular Treatment ◽  
Brachial Artery ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Humerus Fracture ◽  
Artery Injury ◽  
The Right ◽  
Distal Flow

Abstract Background Axillary artery injury secondary to proximal humerus fracture is a rare but serious complication. The management of this injury has traditionally involved surgical treatment. Case summary A 66-year-old female with gait disturbance slipped and fell off her wheelchair at home. She presented to a local hospital with right shoulder pain and was subsequently urgently transferred to our hospital by helicopter because of suspicion of axillary artery injury. Computed tomography angiography revealed disruption of the right axillary artery. We decided to perform endovascular treatment instead of surgical treatment for axillary artery injury. However, since endovascular treatment via the right femoral artery was impossible, we performed bidirectional (right femoral and right brachial artery approaches) endovascular treatment. We expanded the occluded lesion using a 3.5 mm × 40 mm sized balloon and placed a 5.0 mm × 50 mm stent graft (Gore® Viabahn®) across the lesion. The final subclavian injection confirmed that distal flow to the brachial artery was preserved and that there was no leakage of contrast medium from the axillary artery. Discussion We performed endovascular treatment for axillary artery injury secondary to proximal humerus fracture. Although surgical repair is typically performed for this kind of injury, our experience suggests that endovascular treatment might be an option in patients with axillary artery injury.

Axillary Artery Injury: An Isolated, Delayed Case after Blunt Trauma of the Upper Limb

2000 ◽  
Vol 48 (5) ◽  
pp. 951-953 ◽  
Author(s):  
Murat Guvener ◽  
Sadi Kaplan ◽  
Metin Demircin ◽  
Ilhan Pasaoglu
Keyword(s):  
Blunt Trauma ◽  
Upper Limb ◽  
Axillary Artery ◽  
Artery Injury

Use of the Internal Mammary Vein for Access Outflow in a Hemodialysis Fistula

Vascular ◽  
2007 ◽  
Vol 15 (3) ◽  
pp. 172-175 ◽  
Author(s):  
Gregory J. Jaffers ◽  
Charles Reiter ◽  
Clifford J. Buckley
Keyword(s):  
Magnetic Resonance Imaging ◽  
Axillary Artery ◽  
Innominate Vein ◽  
Hemodialysis Access ◽  
Basilic Vein ◽  
Resonance Imaging ◽  
Jugular Veins ◽  
Internal Mammary ◽  
Left Innominate Vein ◽  
Left Axillary Artery

A patient with occlusion of multiple central veins from both dialysis and nondialysis catheters required permanent access for hemodialysis. Magnetic resonance imaging showed a patent left innominate vein. He underwent creation of a left axillary artery to internal mammary vein transposition fistula using the basilic vein from his right arm. The fistula has required one revision for outflow stenosis and one for aneurysmal degeneration. It continues to function well 3 years after placement. The internal mammary vein is an option for outflow when permanent hemodialysis access has failed in the presence of a patent innominate vein with occluded or severely stenotic ipsilateral subclavian and jugular veins.

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