AlSinan Fatima Mufid, Alshowaiey Rana Ali, Alsaqer Mohammed Abdullah, Abdelmohsen Abdelhalim A
Department of General Surgery, Dammam Medical Complex, Dammam, Saudi Arabia.
Department of Vascular Surgery, Dammam Medical Complex, Dammam, Saudi Arabia.
J Vasc Surg Cases Innov Tech. 2025 Mar 17;11(3):101786. doi: 10.1016/j.jvscit.2025.101786. eCollection 2025 Jun.
A crushed upper limb presents a rare entity seen in trauma patients, often resulting in a significant functional disability. We report a case of a 28-year-old male patient who presented with a crush injury to his upper limb after sustaining a motor vehicle accident. Computed tomography angiography showed an abrupt cutoff of the brachial artery proximal to the elbow joint with no contrast filling distally. Revascularization was successfully done using a saphenous venous graft. This case describes a successful revascularization attempt beyond the golden 6 hours.
上肢挤压伤是创伤患者中罕见的情况,常导致严重的功能残疾。我们报告一例28岁男性患者,在遭遇机动车事故后出现上肢挤压伤。计算机断层血管造影显示肘关节近端肱动脉突然中断,远端无造影剂充盈。使用大隐静脉移植物成功进行了血运重建。该病例描述了在黄金6小时之后成功进行血运重建的尝试。