RT Book, Section
A1 Lauria, Alexis L.
A1 Bowyer, Mark W.
A1 Propper, Brandon W.
A2 DuBose, Joseph J.
A2 Teixeira, Pedro G.
A2 Rajani, Ravi R.
SR Print(0)
ID 1200599236
T1 Upper Extremity Vascular Injury
T2 Vascular Injury: Endovascular and Open Surgical Management
YR 2023
FD 2023
PB McGraw Hill
PP New York, NY
SN 9781264269822
LK accesssurgery.mhmedical.com/content.aspx?aid=1200599236
RD 2024/04/23
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.