Diameter of the brachial artery: the selection of arteriotomy site for embolectomy.
Although it has been demonstrated that embolectomy through an arteriotomy on the brachial artery in the antecubital fossa yields better results than a more proximal arteriotomy, many surgeons continue to expose the artery proximal to the elbow. In this study arteriograms from 11 patients were used to show that the artery is equally wide above and below the elbow. Arteriotomy should therefore be performed at the brachial bifurcation because it provides control of all three arteries. The merits of this exposure are illustrated by two case reports.
Dregelid
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Department of Surgery, Haukeland Hospital, Bergen, Norway.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001916:Brachial Artery / Q000033:anatomy & histology*; D002404:Catheterization / Q000379:methods; D004617:Embolism / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged