Which Graft must be Preferred in Firearm Injury of the Axillary Artery.
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Date
2014-04
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Abstract
Aims: Interposition graft technique is used mostly in firearm wounds of axillary artery,
because of excessive defect of the vessel. Autologous vein has been preferred in general
application, even though there is a mild size discrepancy between native artery and
autologous vein. However, in many series, prosthetic graft infection risk has been
reported as low.
Presentation of Case: I am presenting a patient with a gunshot wound to the right upper
chest. As a first choice I preferred saphenous vein which was occluded by thrombosis at
the post-repair third week in spite of anticoagulant therapy and was replaced with
prosthetic graft which was patent at the eight month follow-up.
Discussion: Although the theoretical risk of infection of prosthetic grafts, many previous
reports have demonstrated that prosthetic grafts are nearly as safe as autologous grafts
and they have high long-term patency rate.
Conclusion: There is no point in insisting on autologous grafts in cases of the diameter
discrepancy between native artery and autologous graft, prosthetic graft may be used
more frequently in axillary artery trauma, and post-repair anticoagulants may be
administered in the consequences of size discrepancy between the native artery and the
graft.
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Keywords
Axillary artery, graft occlusion, prosthetic graft, autologous graft
Citation
Topal Aşkın Ender. Which Graft must be Preferred in Firearm Injury of the Axillary Artery. Cardiology and Angiology An International Journal. 2014 Apr-Jun; 2(2): 76-80.