Service de Chirurgie Vasculaire, Centre Hospitalier de Cannes, Cannes, France.
Service de Chirurgie Orthopédique, Centre Hospitalier de Cannes, Cannes, France.
Vasc Endovascular Surg. 2024 Apr;58(3):245-254. doi: 10.1177/15385744231206834. Epub 2023 Oct 12.
Proximal humerus fractures (PHF) are common injuries that can lead to axillary artery injury, which carries the risk of not being identified during initial assessment. The aim of this study was to describe the management of suspected axillary artery injury associated with PHF according to our experience and to describe a new multidisciplinary surgical approach.
This was a single-center retrospective study. A database was created for patients admitted for PHF to the emergency department of the Hospital of Cannes between October 2017 and October 2019. Patients admitted with PHF associated with suspected ipsilateral upper limb ischemia, and/or massive diaphysis displacement, and/or upper limb ipsilateral neurological deficits were included in this study.
In total, 301 patients diagnosed with PHF were admitted within these periods. Among these patients, 12 presented with suspected axillary artery lesions, of whom, 6 were included in the present study and treated according to our new approach. A description of these 6 cases, along with an extensive literature review is presented.
Based on our experience, the endovascular approach proposed for the management of axillary artery injury associated with proximal humerus fractures is effective, feasible and reproducible.
肱骨近端骨折（PHF）较为常见，可导致腋动脉损伤，而腋动脉损伤在初次评估中可能无法被识别。本研究旨在根据我们的经验描述与 PHF 相关的疑似腋动脉损伤的处理方法，并描述一种新的多学科手术方法。
这是一项单中心回顾性研究。为 2017 年 10 月至 2019 年 10 月期间在戛纳医院急诊科收治的 PHF 患者创建了一个数据库。本研究纳入了因 PHF 合并同侧上肢缺血、/或骨干严重移位、/或同侧上肢神经功能缺损而入院的患者。
在此期间，共收治了 301 例 PHF 患者。其中 12 例患者疑似存在腋动脉病变，其中 6 例患者纳入本研究，并根据我们的新方法进行了治疗。本文对这 6 例患者的情况进行了描述，并进行了广泛的文献复习。
根据我们的经验，提出的用于治疗肱骨近端骨折合并腋动脉损伤的血管内治疗方法是有效、可行且可重复的。
