The Radial Artery at the Wrist

• Previous message: The Radial Artery at the Wrist
• Next message: Radial artery at the wrist
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

I second that opinion.
Anecdotal experience: I repaired a radial artery in the OR in a teenager as
a resident and confirmed patency later in outpatient clinic by occluding
ulnar artery and demonstrating continued strong pulsation of repaired
radial. One month later,came back to ER with a lacerated ULNAR artery!
Wonder what would have happened to his hand if I had simply ligated the
radial earlier?


On Fri, Dec 30, 2011 at 2:42 PM, Sohail Muzammil
<sohailmuzammil at gmail.com>wrote:

> I'm a bit late entering this thread but I wonder if one can be so
> cavalier.
> in ligating the radial artery. The plastic surgery literature has shown
> early fatigue and effects on grip strength after the radial forearm flap.
> Ergo, this is not a disposable vessel.
>
> Therefore in a clean cut I would explore in the OR and would repair the
> artery if cut. Also I don't buy the "it'll thrombose anyway" defence. We do
> repair much smaller brachial arteries in kids' nasty supracondylars and
> they do just fine (well.. mostly). Of course a badly chewed up artery or a
> segmental loss would be another story.
>
> My 2 Rupees.
>
> And of course best wishes for a very happy, healthy and prosperous New Year
> to all my colleagues.
>
> Regards
> Sohail Muzammil
> --
> trauma-list : TRAUMA.ORG
> To change your settings or unsubscribe visit:
> http://www.trauma.org/index.php?/community/
>

• Previous message: The Radial Artery at the Wrist
• Next message: Radial artery at the wrist
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]