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ITALIAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY
Rivista di Chirurgia Vascolare ed Endovascolare
Italian Journal of Vascular and Endovascular Surgery 2007 December;14(4):291-6
Upper limb traumatic vascular injuries
Heis H. A. 1, Bani-Hani K. E. 1, Elheis M. A. 2
1 Department of Surgery King Abdullah University Hospital Faculty of Medicine Jordan University of Science and Technology, Irbid, Jordan
2 Department of Radiology King Abdullah University Hospital, Faculty of Medicine Jordan University of Science and Technology, Irbid, Jordan
Aim. This study aimed to present our experience in the management of upper limb traumatic vascular injuries in Jordan.
Methods. Data collected retrospectively on 31 consecutive patients diagnosed to have upper extremity traumatic vascular injuries at King Abdullah University Hospital, northern Jordan, between 2001 and 2006. Factors evaluated included demographic data, location of vessels injured, mechanism of injury, associated injuries, treatment, and outcome.
Results. There were 23 males and 8 females with a mean age of 28 years. The majority of the injuries were caused by penetrating wounds, mainly stab wounds in 17 patients (55%). Associated injuries included orthopedic injuries in 14 patients (45%), venous injuries in 11 patients (35.5%), and nerve injuries in 10 patients (32%). Primary anastomosis was possible in 10 patients (32%), whereas 15 patients (48%) required vein interposition grafting. Forearm fasciotomy was performed in one patient. Vascular repair was successful in 30 patients (97%). The amputation rate was 3% (1/31) and the mortality rate was 10% (3/31). The long-term patency rate of revascularized limbs at a median follow-up of 2 years was 96% (27/28).
Conclusion. Excellent results of vascular repairs were obtained. Long-term disability occurred in patients who had associated nerves injuries and orthopedic injuries, which result in impairment of limb function.