The Turkish Journal of Vascular Surgery
Yazarlar: Vitaliy Petrov
Konular:-
Anahtar Kelimeler:Brachial artery,Humeral fractures,Photoplethysmography,Vascular injuries
Özet: A five-year-old boy was admitted with a supracondylar fracture of the distal humerus. After the closed reduction, the hand was pink, but persistent absence of radial pulse was revealed. Pulse oximetry detected flattened waveform compared to the unaffected limb. Doppler ultrasound examination suggested distal brachial artery occlusion. During operation, artery dissection was found, the injured segment was resected, and the vessel was repaired in an end-to-end fashion. In conclusion, pulse oximetry with waveform analysis is a valuable method for screening of brachial artery injuries in children with a pink pulseless hand.