Brachial index does not reflect upper extremity functionality following surgery for vascular trauma
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| Formato: | Artículo científico |
| Lenguaje: | en |
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Sociedade Brasileira de Angiologia e de Cirurgia Vascular
2014
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| _version_ | 1876447099293270016 |
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| author | Erdal Simsek |
| author_facet | Erdal Simsek |
| contents | Brachial index does not reflect upper extremity functionality following surgery for vascular trauma Erdal Simsek Kasim Karapinar Ilker Ince Ahmet Tulga Ulus Medicina trauma brachial brachial index Arterial injury upper extremity Objectives: Vascular injuries to the upper extremities requiring surgical repair are common after accidents. However, neither postoperative functionality nor hemodynamic status of the extremity are routinely described. We evaluated the postoperative functional and hemodynamic status of patients with vascular traumas in the upper extremities. Methods: 26 patients who suffered penetrating vascular traumas in the upper extremities from November 2008 to December 2011 were retrospectively evaluated. Data on first approach, surgical technique employed and early postoperative outcomes were recorded. Further data on the post-discharge period, including clinical functional status of the arm, Doppler ultrasonography and brachial-brachial index were also evaluated. Results: Average follow up was 33.5±10.8 months. Right (1.05±0.09) and left (1.04±0.08) brachial indexes were measured during follow up,. Doppler ultrasonography showed arterial occlusion in 4 patients (15%). Near-normal brachial-brachial indexes was observed in all four of these patients with occlusion of one of the upper extremity arteries, even though they exhibited limited arm function for daily work. Conclusions: Evaluation of the postoperative outcomes of this small series of patients with penetrating vascular traumas in the upper extremity revealed that 15% of them suffered occlusion of one artery of the upper extremity. Artery occlusion did not correlate with brachial-brachial Doppler index, probably due to rich collateral circulation, but occlusion was associated with an extremity that was dysfunctional for the purposes of daily work. The result of the brachial-brachial index does not therefore correlate with functionality. 2014 artículo científico 1677-5449 https://www.redalyc.org/articulo.oa?id=245031482002 en http://www.redalyc.org/revista.oa?id=2450 Jornal Vascular Brasileiro application/pdf Sociedade Brasileira de Angiologia e de Cirurgia Vascular Jornal Vascular Brasileiro (Brasil) Num.2 Vol.13 |
| format | Artículo científico |
| id | redalyc_245031482002 |
| institution | Redalyc |
| language | en |
| publishDate | 2014 |
| publisher | Sociedade Brasileira de Angiologia e de Cirurgia Vascular |
| spellingShingle | Brachial index does not reflect upper extremity functionality following surgery for vascular trauma Erdal Simsek Medicina trauma brachial brachial index Arterial injury upper extremity Brachial index does not reflect upper extremity functionality following surgery for vascular trauma Erdal Simsek Kasim Karapinar Ilker Ince Ahmet Tulga Ulus Medicina trauma brachial brachial index Arterial injury upper extremity Objectives: Vascular injuries to the upper extremities requiring surgical repair are common after accidents. However, neither postoperative functionality nor hemodynamic status of the extremity are routinely described. We evaluated the postoperative functional and hemodynamic status of patients with vascular traumas in the upper extremities. Methods: 26 patients who suffered penetrating vascular traumas in the upper extremities from November 2008 to December 2011 were retrospectively evaluated. Data on first approach, surgical technique employed and early postoperative outcomes were recorded. Further data on the post-discharge period, including clinical functional status of the arm, Doppler ultrasonography and brachial-brachial index were also evaluated. Results: Average follow up was 33.5±10.8 months. Right (1.05±0.09) and left (1.04±0.08) brachial indexes were measured during follow up,. Doppler ultrasonography showed arterial occlusion in 4 patients (15%). Near-normal brachial-brachial indexes was observed in all four of these patients with occlusion of one of the upper extremity arteries, even though they exhibited limited arm function for daily work. Conclusions: Evaluation of the postoperative outcomes of this small series of patients with penetrating vascular traumas in the upper extremity revealed that 15% of them suffered occlusion of one artery of the upper extremity. Artery occlusion did not correlate with brachial-brachial Doppler index, probably due to rich collateral circulation, but occlusion was associated with an extremity that was dysfunctional for the purposes of daily work. The result of the brachial-brachial index does not therefore correlate with functionality. 2014 artículo científico 1677-5449 https://www.redalyc.org/articulo.oa?id=245031482002 en http://www.redalyc.org/revista.oa?id=2450 Jornal Vascular Brasileiro application/pdf Sociedade Brasileira de Angiologia e de Cirurgia Vascular Jornal Vascular Brasileiro (Brasil) Num.2 Vol.13 |
| title | Brachial index does not reflect upper extremity functionality following surgery for vascular trauma |
| topic | Medicina trauma brachial brachial index Arterial injury upper extremity |
| url | https://www.redalyc.org/articulo.oa?id=245031482002 |