TY - CHAP M1 - Book, Section TI - Upper Extremity Vascular Injury A1 - Lauria, Alexis L. A1 - Bowyer, Mark W. A1 - Propper, Brandon W. A2 - DuBose, Joseph J. A2 - Teixeira, Pedro G. A2 - Rajani, Ravi R. Y1 - 2023 N1 - T2 - Vascular Injury: Endovascular and Open Surgical Management AB - Upper extremity vascular trauma can lead to significant functional morbidity and, when compared to lower extremity trauma, current prosthetics and functional devices are less refined. Based on recent civilian series and military reports, upper extremity arterial injury accounts for approximately 20% of all vascular injuries, with the brachial artery being most frequently injured, and 30% to 40% of extremity vascular injuries.1–8 Unfortunately, many otherwise well-trained surgeons are ill-prepared to handle these injuries because of limited exposure in training as well as in subsequent practice. The average number of open brachial artery exposures performed within a 5-year residency reported by United States (U.S.) graduating general surgery residents between 2009 and 2019 ranged from 0.0 to 0.2 cases, while repair of all peripheral vessels ranged from 0.7 to 1.2 cases (acgme.org). Vascular surgery fellows do not fare much better for brachial artery exposure with an average of 0.3 and 0.7 cases reported during years 2014 to 2019. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1200599236 ER -