J Korean Orthop Assoc.  2010 Dec;45(6):490-495. 10.4055/jkoa.2010.45.6.490.

Treatment of Brachial Artery Injury with Humeral Shaft Fracture Using Endovascular Stenting

• Kang S
• Chung PH
• Whang CS
• Kim JP
• Kim YS
• Yang CH
• Na DY

• KMID: 2185498
• DOI: http://doi.org/10.4055/jkoa.2010.45.6.490

Abstract

An injury to the brachial artery from humeral shaft fracture is uncommon but requires immediate surgery to restore the blood flow. We report a case of endovascular stenting to repair a brachial artery occlusion caused by humeral shaft fracture in a 53 year old male with a review of the relevant literature.

Keyword

upper arm; brachial artery injury; humeral shaft fracture; endovascular stent

MeSH Terms

Brachial Artery
Humans
Male
Stents

Figure

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  Figure 1 Initial radiograph shows comminuted fracture of the proximal 1/3 humeral shaft.

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  Figure 2 Upper extremity angiography shows complete occlusion of the brachial artery and deep brachial artery at the level of the humeral fracture.

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  Figure 3 Distal brachial artery segment is filled by collateral circulation and there is no extravasation of contrast media.

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  Figure 4 A running through guide wire was passed to distal brachial artery segment.

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  Figure 5 Endovascular stent is expanded by ballooning.

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  Figure 6 On post-stenting angiogram, the occluded portion of brachial artery is successfully connected without evidence of leakage.

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  Figure 7 The humeral fracture was fixed with locking plate and screws.

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  Figure 8 At 6 weeks after operation, a radiograph shows slight narrowing of distal portion of grafted stent.

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  Figure 9 Computer tomography angiogram shows well maintained distal artery outflow.

Reference

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