Brachial artery injury in Al-Emamain Al-Kadhymain Medical City, Baghdad, Iraq: a single-center clinical experience.

Aims: To identify the most common causes, associated injuries, and management approaches in the case of brachial artery injuries. Methods: This was a retrospective survey conducted in Al-Emamain Al-Kadhymain Medical City, Baghdad-Iraq, which included 104 patients who were diagnosed to have brachial artery injury during the period from January 2015 to April 2021. The evaluated factors included demographic data, site of injury, causes of injury, associated injury, type of treatment, and complications. Results: One hundred and four patients were registered in the present study. The majority were males (86.7%) and half of the cases were in the 31-40 years age group. Most of the patients were military (83.7%). In 57% of the patients, the injury was on the left side. Penetrating injuries were the commonest types of brachial artery injuries (92.3%), while blunt trauma occurred in 7.7%. According to the treatment approach, 81.7% of the patients were treated with end-to-end anastomosis. Regarding the associated injury, 43.2% of the patients had venous injuries, 35.5% had a fractured humerus, and 31.7% had nerve injuries. Conclusion: Brachial artery injuries are most commonly caused by penetrating trauma. Venous injury was the commonest associated injury of brachial artery injury. The most frequent surgical intervention was surgical end-to-end anastomosis. [ABSTRACT FROM AUTHOR]