Management of axillo-subclavian arterial injuries and predictors of outcome

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dc.contributor.authorTopal, A. Ender
dc.contributor.authorEren, M. Nesimi
dc.date.accessioned2024-04-24T17:37:38Z
dc.date.available2024-04-24T17:37:38Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractAim. Although incidence of subclavian and axillary artery injury account for less than 9% of all vascular injuries, trauma to these vessels presents a surgical challenge particularly with high mortality and morbidity rates. The aim of the study was to review our experience on subclavian and axillary vessels injury and to analyze factors that may influence results of reconstructive surgery. Methods. Data of 35 patients have been recorded between January 2000 and June 2010. Mean age was 24.86 +/- 8.99 years and most were males (88.57%). Regression analysis was performed to find out factors affecting outcome. The mean follow-up time was 60 months. The artery was injured in 32 of the 35 cases (91.43%) and the vein was injured in nine cases (25.71%). Results. Seven of 24 reconstructions with saphenous graft failed as a result of thrombosis, whereas all of seven prosthetic grafts were patent during the long-term follow-up period. Except one, all surgical interventions followed by warfarin administration were patent while seven repair failures occurred among the anticoagulation-free interventions. Conclusion. Autologous vein graft must be the first choice; however, in case of size discrepancy, prosthetic graft usage may be an alternative approach and postoperative administration of anticoagulants may be considered at least in the presence of certain risk factors such as native artery-graft diameter discrepancy, thrombus history and prosthetic graft.en_US
dc.identifier.endpage315en_US
dc.identifier.issn0026-4733
dc.identifier.issue4en_US
dc.identifier.pmid21873965en_US
dc.identifier.scopus2-s2.0-82755176604en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage307en_US
dc.identifier.urihttps://hdl.handle.net/11468/21082
dc.identifier.volume66en_US
dc.identifier.wosWOS:000295568700005
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherEdizioni Minerva Medicaen_US
dc.relation.ispartofMinerva Chirurgicaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAxillary Arteryen_US
dc.subjectSubclavian Arteryen_US
dc.subjectWound And Injuriesen_US
dc.subjectGraft Occlusion, Vascularen_US
dc.titleManagement of axillo-subclavian arterial injuries and predictors of outcomeen_US
dc.typeArticleen_US

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