Surgical management of axillosubclavian vascular injuries

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dc.authoridAkyuz, Muhammet/0000-0002-5555-564X
dc.contributor.authorAkyuz, Muhammet
dc.contributor.authorGokalp, Orhan
dc.contributor.authorOzcem, Barcin
dc.contributor.authorOzcan, Sedat
dc.contributor.authorBesir, Yuksel
dc.contributor.authorGurbuz, Ali
dc.date.accessioned2025-01-27T21:19:21Z
dc.date.available2025-01-27T21:19:21Z
dc.date.issued2015
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjective: Complex surgical exposures to upper extremity injuries required for conventional surgery correlate with a high morbidity and mortality. We present our results with conventional surgery following injuries of the subclavian and axillary vessels. Methods: Between November 2007 and March 2012, 29 cases with subclavian-axillary vascular injury were operated. Diagnostic and treatment methods, associated organ injury, morbidity and mortality rates in these cases were respectively reviewed. Results: The causes of injuries were stab wounds in 11 cases (37.9%), gunshot wounds in 9 cases (31%), iatrogenic injuries in 5 cases (17.2%) and blunt trauma 4 cases (13.7%). Eight patients (27.5%) had isolated arterial injury while 21 patients (72.4%) had coexisting organ injury (vein, bone, soft tissue, nerve). Primary repair and usage of saphenous vein were the most common surgical methods. One patient died due to myocardial infarction. (Mortality 3.4%) Conclusions: Vascular injuries of axillosubclavian are frequently associated with neurogenic, osseous and soft tissue injuries and should have early intervention. Conventional surgery remains the choice of treatment in patients with poor status and urgency.
dc.identifier.doi10.12669/pjms.313.7316
dc.identifier.endpage555
dc.identifier.issn1682-024X
dc.identifier.issue3
dc.identifier.pmid26150842
dc.identifier.scopus2-s2.0-84929581504
dc.identifier.scopusqualityQ1
dc.identifier.startpage552
dc.identifier.urihttps://doi.org/10.12669/pjms.313.7316
dc.identifier.urihttps://hdl.handle.net/20.500.12428/28557
dc.identifier.volume31
dc.identifier.wosWOS:000358188800012
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherProfessional Medical Publications
dc.relation.ispartofPakistan Journal of Medical Sciences
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20250125
dc.subjectInjury
dc.subjectVascular
dc.subjectUpper extremity
dc.subjectSurgery
dc.subjectArterial trauma
dc.titleSurgical management of axillosubclavian vascular injuries
dc.typeArticle

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