Document Detail

Crutch-induced aneurysms of the axillary artery.
MedLine Citation:
PMID:  7386992     Owner:  NLM     Status:  MEDLINE    
Of all upper extremity emboli, 20 per cent arise from an arterial, not cardiac, source. Therefore, one should always consider an arterial source for embolic occlusion of the axillobrachial axis. Chronic axillary crutch use in the patient with acute, noncardiac embolism of the upper extremity should suggest the diagnosis of crutch-induced axillary artery aneurysm. Treatment consists of resection of the aneurysm with reconstruction. Distal embolectomy should also be performed. Forearm fasciotomy and cervicodorsal sympathectomy should be considered in an adjunctive role. In the absence of compelling contraindications, surgical treatment should be offered at the time of discovery of the aneurysm to prevent continued microembolization to the extremity.
J T Ettien
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  46     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1980 Apr 
Date Detail:
Created Date:  1980-08-28     Completed Date:  1980-08-28     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  267-9     Citation Subset:  IM    
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MeSH Terms
Aneurysm / etiology*,  surgery
Arm / blood supply
Axillary Artery / injuries*,  surgery
Crutches / adverse effects*
Ischemia / etiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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