Résumé
Between January 1989 and January 1992, 27 cases with brachial artery injury were operated upon at Ain Shams University Hospitals. Penetrating trauma was the predominant cause. In 14 patients, there was associated median and/or ulnar nerve injury. In 5 patients, there was associated bone injury. In 20 patients, a reversed saphenous vein graft was inserted to restore arterial continuity. In 4 patients, end to end anastomosis was possible. An interposition reversed basilic vein graft was used in one patient, lateral suturing in one patient and an axillary-brachial saphenous vein bypass was performed in one patient. No single amputation was required. However, the functional disability resulting from associated nerve injury was pronounced. Nerve repair was not accomplished on emergency basis in this study. Intra-operative angiography was employed to detect associated distal vascular injury in the forearm. The mortality rate was zero per cent as associated distant injuries were not serious