Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing

Introduction: The vascular traumatisms of the limbs are very frequent at present. When these injuries do not receive the required care they can evolve to serious complications, which includes the loss of the limb or death. Objective: To describe the brachial artery repair technique using the sapheno...

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Main Authors: Osvaldo Valdés Dupeyrón, Gino Kleiver Alvia Del Castillo, Javier González Robles, Josselyn Soraya Jalil Gorozabel, Andrea Vanesa Bazurto Zambrano, Nicole Stephania Roldan Macias
Format: Article
Language:Spanish
Published: Editorial Ciencias Médicas - ECIMED 2021-01-01
Series:Revista Cubana de Medicina Militar
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Online Access:http://www.revmedmilitar.sld.cu/index.php/mil/article/view/722
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author Osvaldo Valdés Dupeyrón
Gino Kleiver Alvia Del Castillo
Javier González Robles
Josselyn Soraya Jalil Gorozabel
Andrea Vanesa Bazurto Zambrano
Nicole Stephania Roldan Macias
author_facet Osvaldo Valdés Dupeyrón
Gino Kleiver Alvia Del Castillo
Javier González Robles
Josselyn Soraya Jalil Gorozabel
Andrea Vanesa Bazurto Zambrano
Nicole Stephania Roldan Macias
author_sort Osvaldo Valdés Dupeyrón
collection DOAJ
description Introduction: The vascular traumatisms of the limbs are very frequent at present. When these injuries do not receive the required care they can evolve to serious complications, which includes the loss of the limb or death. Objective: To describe the brachial artery repair technique using the saphenous vein in a case with brachial artery trauma with vascular compromise. Clinical case: 37-year-old patient with a history of psychiatric illness, with a diagnosis of a stab wound with vascular compromise in the left forearm of four hours of evolution. On admission, he was unstable, hypovolemic shock, with cyanotic limb and absence of distal pulses. Intravenous antibiotics, crystalloid solution and blood were indicated. The patient was transferred to the surgery and a total section of the brachial artery was found. The revascularization technique was performed with an inverted saphenous vein graft. The patient evolved favorably and was discharged on the third day. Eleven months later, Doppler ultrasound was performed and good graft patency was confirmed. Conclusions: The inverted saphenous vein revascularization technique contributed satisfactorily to the survival and quality of life of the treated case.
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spelling doaj-art-c9426efd06864bc7b91d7d8a343757f12025-08-20T02:02:07ZspaEditorial Ciencias Médicas - ECIMEDRevista Cubana de Medicina Militar1561-30461561-30462021-01-01501e0210722e0210722345Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbingOsvaldo Valdés Dupeyrón0Gino Kleiver Alvia Del Castillo1Javier González Robles2Josselyn Soraya Jalil Gorozabel3Andrea Vanesa Bazurto Zambrano4Nicole Stephania Roldan Macias5Unicersidad Técnica De Manabi. Ecuador, Hospital Verdi Cevallos BaldaHospital Verdi CevallosUniversidades Técnica de ManabiUniversidad Técnica de ManabiUniversidad Técnica de ManabiUniversidad Técnica de ManabiIntroduction: The vascular traumatisms of the limbs are very frequent at present. When these injuries do not receive the required care they can evolve to serious complications, which includes the loss of the limb or death. Objective: To describe the brachial artery repair technique using the saphenous vein in a case with brachial artery trauma with vascular compromise. Clinical case: 37-year-old patient with a history of psychiatric illness, with a diagnosis of a stab wound with vascular compromise in the left forearm of four hours of evolution. On admission, he was unstable, hypovolemic shock, with cyanotic limb and absence of distal pulses. Intravenous antibiotics, crystalloid solution and blood were indicated. The patient was transferred to the surgery and a total section of the brachial artery was found. The revascularization technique was performed with an inverted saphenous vein graft. The patient evolved favorably and was discharged on the third day. Eleven months later, Doppler ultrasound was performed and good graft patency was confirmed. Conclusions: The inverted saphenous vein revascularization technique contributed satisfactorily to the survival and quality of life of the treated case.http://www.revmedmilitar.sld.cu/index.php/mil/article/view/722traumatismo vascularherida por arma blancalesión de arteria humeralrevascularizacióninjerto de vena safena.
spellingShingle Osvaldo Valdés Dupeyrón
Gino Kleiver Alvia Del Castillo
Javier González Robles
Josselyn Soraya Jalil Gorozabel
Andrea Vanesa Bazurto Zambrano
Nicole Stephania Roldan Macias
Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing
Revista Cubana de Medicina Militar
traumatismo vascular
herida por arma blanca
lesión de arteria humeral
revascularización
injerto de vena safena.
title Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing
title_full Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing
title_fullStr Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing
title_full_unstemmed Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing
title_short Revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing
title_sort revascularization of the humeral artery with a vein saphenous inverted in vascular trauma by stabbing
topic traumatismo vascular
herida por arma blanca
lesión de arteria humeral
revascularización
injerto de vena safena.
url http://www.revmedmilitar.sld.cu/index.php/mil/article/view/722
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