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J.954594101093351
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from945608101092657106182
a11486081010943
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humerus1584608101095099175220250301336
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57%340622101094691162
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33%1851622101094791161
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10%1354636101094790165
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the1650636101093081129
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Blunt474650101094971121171200
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a17606641010943
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This751678101094698119156
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could1298678101094191142163216
be1540678101095299
owing16656781010950117139190242
to1933678101093080
the340692101093081127
fact493692101092772113145
that664692101093081125155
the845692101093081127
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or876720101094979
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Surgical480734101094493122171192232275296
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the1266734101092978123
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study1691734101093565114165207
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an1400748101094291
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vein340762101094490112163
interposition529762101092273103149180233285321343374395446498
graft1053762101095282127154188
(9.6%),126776210109267188136208232250
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(8.7%),34077610109267090136207230248
while6067761010966117138159205
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the918776101093080125
study1062776101093566116167210
by1291776101095193
Andreev14027761010955105157186231278321
A.1741776101095576
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al,192977610109436584
55%214062101094690160
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the242262101093080126
patients257162101095195125146192242272308
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end-to-end368762101094596214076101095180110159190237288339
anastomosis249876101094494137173204253329379414435471
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45%315276101094691161
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treated353876101093059105148178223275
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autogenous232790101094393123172224269320370420456
grafts280290101095080124150183220
(12).304190101092668108132149
The2280104101094596142
proportion2447104101095181130182233263295317366417
of2889104101094976
BA29901041010949103
reconstruction3118104101093075116165216251282312362403435456506556
using36991041010950862140118101092171122
interposition2278118101092170100144174226276312333363384433484
of2778118101094976
the2870118101092979125
great3011118101095080125168198
saphenous3225118101093579131181227277327377412
vein3653118101094488109159
is2140132101092157
relatively221813210109307597141170191235280302345
small25851321010935110154175197
in2804132101092171
this2896132101093080101137
case3055132101094084120166
series,3243132101093581111133178214233
because3498132101095298139183233269314
most21401461010974123158189
of2344146101094975
our2435146101094898127
cases2577146101094084118163199
(76%)2791146101092570113182205
were30111461010966110139184
caused3210146101094084132167212263
by3489146101095092
bullet35961461010951100121142187217
injuries214016010109217192142172193239275
(Tab.2440160101092573110162180
1)2645160101094666
which27351601010967117138179229
required2989160101092974126176197227272324
only33371601010950100122165
end-toend35271601010945951471762062552140174101094596147
anastomosis2313174101094393137173204253329379415436471
because2810174101095197139183233269314
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a32521741010943
short3320174101093686136166199
arterial3545174101094373106150180202246267
defect2140188101095095122167207239
of2394188101094975
about2485188101094393143192222
less2722188101092166102137
than2874188101093079122171
130601881010946
cm31221881010939114
in3251188101092170
length.3337188101092166115165195244263
Thus,3616188101094494143178197
only21402021010951103126170
those2337202101093183135172219
with2583202101096891123175
long2785202101092173126178
defects29902021010953100128176219252291
were33082021010968114146193
treated3528202101093061108154184231285
with2140216101096891123175
interposition2343216101092274105152183237290328350382404456509
of2880216101095179
the2987216101093183130
great3146216101095183130175206
saphenous3381216101093683136189237290342394431
vein2140230101094388109159
graft.2319230101095079124150183203
It2280244101092253
is2360244101092158
worth24452441010968118149183235
mentioning27062441010977124176207229280332355406458
that3191244101093182127158
753375244101094893
patients3494244101095398129151198250280319
referred2140258101092975102147177207253305
with2466258101096688118168
brachial2656258101095181125166216237280302
artery2980258101094373105150180225
injury322725810109217193142172217
were34662581010966111141186
rescued36742581010929751112140272101094089135186
by2342272101095192
the2450272101093079125
referring2590272101093074101146176206227277327
hospital2933272101094999134185206236280301
in3250272101092171
terms3336272101093074104179214
of3566272101094975
ABC36572721010955103155
life-saving214028610109214269115145181226268290340391
measures.25522861010975121164200249279324360380
The2953286101094596142
remaining3116286101092974150194215265286336387
293524286101094692
patients36372861010951961251462140300101094596125162
reached2327300101092974118159209255306
the2658300101093080126
ED28093001010944104
of2937300101095076
our30383001010950100129
center3192300101094185136165210240
and3457300101094393144
were36263001010966111141187
managed21403141010975118168212262308360
according2516314101094383123171201252273323374
to2906314101093078
standard3000314101093667111161212255285336
approaches.3352314101094394146176225269310359405441460
The2280328101094494138
overall2433328101094890133162204225245
survival2693328101093583111156177220262283
rate2991328101092971100143
in3149328101092169
the3233328101092978122
current3370328101093988116145189238266
case3651328101094083117161
series2140342101093581111132177213
was23693421010966109145
97.2%2530342101094690100148219
(42765342101092669
deaths2850342101095196139169218253
only).31193421010950100121164188205
Each3340342101094488128178
yielded3534342101094264109131182227279
from2140356101092656104179
coexisting2334356101094087133175196230260281330380
other2729356101094978127172201
multiple29453561010974123144173194244265310
severe3270356101093580123166195240
injuries,352535610109217091139168189234269287
such2140370101093584124173
as2329370101094378
penetrating2422370101095197146191221250294323343393443
head,2880370101095095138188207
chest,3102370101094089134170200219
and3336370101094393143
abdominal34953701010943931451942682892140384101095094115
injuries.227238410109217192142171193239274294
None25833841010959109160206
of2805384101095076
the2898384101093080126
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were33683841010966111141186
due35713841010950100146
to3733384101093079
their2140398101093079125146176
BA23323981010948102
injuries.245039810109217192142171192238273293
Comparable27593981010952100176227271300344395417462
outcomes3237398101095099129169217293338374
were36273981010966111140185
also2140412101094364100150
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surgeons3130412101093584114164209259310345
from3491412101092656106181
the3688412101092979125
USA21404261010958102156
in2315426101092171
their2405426101092979125147176
case2600426101094084120166
series2784426101093682111133179215
that3017426101093080123153
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1243539426101094686130
patients3688426101095195214044010109305196147176213
two2372440101093099148
years2539440101094287131160197
ago2755440101094495146
(13).2922440101092669110134152
The2280454101094495141
first243845410109265080117148
of2603454101094975
the2695454101093080126
four2838454101092675126155
deaths3010454101095196140170220255
was32824541010966110145
a34444541010943
25-year-3504454101094692122165209253283308
-old2140468101092779101152
male23094681010974118140185
who25114681010965116166
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with3094468101096587117167
two3278468101093098147
gunshots,3442468101094999149184234284314351370
with2140482101096689120171
one23354821010949101147
involving2507482101092172115164187232255306357
the2889482101092980127
right3040482101093052104155185
brachial3249482101095182127169220242286309
artery3582482101094374107153184230
and2140496101094598152
the2322496101093083132
other2484496101095083136185217
causing2730496101094289141180203256310
severe3069496101093786132179212260
intracranial3358496101092275107139186229261308361385431455
hemorrhage,2140510101095097173224255286337382433480499
and2660510101094495147
the2828510101093080127
patient2976510101095196127149195247277
died3274510101095173119172
two34675101010930100150
days3638510101095095137174
postoperatively21405241010951103139171221274321352397427449494539562606
at2768524101094474
the2864524101093081128
RCU.30145241010948102160179
The3215524101094496143
second3380524101093683125175226278
victim36805241010944661082140538101093053132
presented2300538101095285132170218271303350404
with2733538101096891123176
associated2937538101094582120173216239285317364418
abdominal3384538101094498153205284307359405429
polytraumatic21405521010953106130176212244290343422468500523567
injuries273555210109227599151183207255294
involving3057552101092275120172196242266319373
the3459552101093183132
right3620552101093054107161192
hepatic2140566101095097150195226248290
lobe,2457566101092273126173192
spleen,2677566101093688111158205257277
IVC,2981566101092274126148
and3156566101094395147
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bowel.35535661010952103170216239260
The2140580101094597143
patient2309580101095196127149195247277
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multiple30885801010975126148179201253276323
organ3436580101094980132176227
failure3689580101092671942140594101092172102148
after2313594101094370104150181
seven2518594101093682126172223
hours27655941010950101152183220
in3009594101092172
the3105594101093081128
RCU.32575941010948102161179
The3460594101094496143
third3627594101093081103133185
fatality2140608101092671101146168190220266
was24236081010966111147
a25876081010943
55-year-old2648608101094690120163208253283309361384436
heavy3101608101095096140183229
smoker33486081010935110161204249280
who36456081010966117167
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with2556622101096689120171
superadded2750622101093686139186217262314366413466
COPD32396221010953113163223
and3486622101094394146
left-365662210109216896130156
-sided214063610109286587139185238
lung2404636101092272123175
contusion.2605636101094190142172223259281332384404
It3035636101092253
was31146361010966111147
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that3657636101093080125155
the2140650101093083131
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rate2696650101093076108155
among28796501010945123175228281
cases3189650101094188125173211
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lung3633650101092274126180
contusion2140664101094090141172222259281332383
may25496641010975120162
reach2737664101093076120162213
up29766641010950102
to3104664101093080
25%3210664101094693164
in3400664101092172
a34986641010943
recent3568664101092975118163214245
cohort2140678101094193146198230265
(14).2434678101092671114140159
The2622678101094699148
last2798678101092268106139
dead29656781010952100146200
patient3194678101095299131154202255287
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a25046921010945
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injury279869210109217497149180228
that,3055692101093083128160181
in3265692101092173
addition3367692101094498152175207230282335
to3730692101093182
the2140706101093080126
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brachial2487706101095282126166216238281303
vessels,2810706101094388124159205227263282
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the3457706101093080125
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chest3094720101094293141178211
injuries.333272010109217396148179201249286307
The3666720101094699147
patient2140734101095196126147193243273
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massive27897341010975119155191212256301
blood3115734101095274124175227
transfusion,3367734101093060104154190218268304325375426445
and2140748101094394145
unfortunately23077481010950100126176206239289339382412457479522
passed2851748101095195131167212264
away31377481010944109153195
seven3354748101093681125169220
hours35967481010950100150180216
postoperatively21407621010951101136166215266312341385414435478522543586
after2741762101094370102146176
exploratory2932762101094587139160210239283312360390435
laparotomy3382762101092164115159188237266315389430
and2140776101094394145
right2304776101092951102152181
thoracotomy.2504776101093080130160204245293323372448490505
Patients4080510101094992121142188239268305
who44105101010967118168
died4603510101095172118170
as4798510101094480
a49025101010945
result4971510101093075111161182212
of5208510101095077
brachial5309510101095282126167217238282303
artery3940524101094371103146174218
injuries417252410109217090138166186230265
per4451524101095095124
se4589524101093579
or4682524101094978
with4773524101096686115164
associated4950524101094378112160200220262290333384
injuries534752410109217090138166187231265
before3940538101095196121170198242
hospital4196538101094998132182202231274294
admission4504538101094392166186220254274322371
were48895381010966109138182
excluded5084538101094587125145193243287337
from5435538101092655103177
this394055210109307999134
case4093552101094184118163
series.4276552101093580109130175210228
However,45245521010958108173217259303332346
a48895521010944
rough4952552101093078127177227
estimate5198552101094580110130205247276320
of5537552101095075
a39405661010944
prehospital4008566101095181125175225260311332361405426
death4458566101095196139168218
rate4700566101092973102146
of4870566101095076
about4970566101094394144194223
5%52175661010947116
can5357566101094184134
be5515566101095297
assumed.3940580101094479115164240286337356
Almost4321580101095576152202237268
all461358010109446586
were47245801010967112141186
due49355801010951101146
to5106580101093079
massive52095801010976120155191211255300
or5533580101095080
associated3940594101094377110158198217259287330380
head,4333594101094993135184201
abdominal,4548594101094392142190263283331372392410
and4971594101094391140
chest5124594101094088132166195
injuries.533259410109216989137164184228262280
Most40806081010972122157187
patients4286608101095195123144188238266302
in4608608101092170
the4698608101093079124
current4841608101094089118147192241270
study5130608101093666115165208
had5357608101095093143
an5520608101094393
associated3940622101094377111159199219261289332382
injury433662210109216989137165209
besides4559622101095095129149198242277
BA48496221010949101
injury.496462210109216989137165209223
In5201622101092169
comparison,52846221010940871612102532813013940636101093584134152
another4106636101094392140169218263291
study4412636101093565113163205
by4632636101095191
Visser4738636101095071105140184213
P.A.4965636101094856113133
et5112636101094574
al.520163610109436381
revealed5296636101093074116159201222266317
that3940650101093079121150
58%4104650101094691161
of4279650101094975
cases4368650101094083118163197
were45806501010966109138182
associated4777650101094377112161201221264292336387
with5178650101096687116164
a53576501010943
chest5414650101094089134169198
injury394066410109216888135162206
which41596641010965113132170218
was43906641010965106140
the4543664101092976120
commonest4676664101093985158230278326369403432
general5121664101094992140184212253273
injury540766410109206888135162206
(15).3940678101092667108131148
Most41126781010973123158188
patients4324678101095296125145190240269306
in4654678101092170
the4748678101093080125
current4897678101094190119149194244273
study5194678101093666115166209
were54276781010967111141185
injured394069210109216989137166209259
by4213692101095192
an4318692101094392
explosion,4423692101094586137157206240260308357374
and4811692101094392141
this496669210109307898132
might5112692101097494143191220
explain5345692101094586137157199219267
the3940706101093079124
multiple40817061010975124144174194244265310
injuries.440870610109217191140168189234269287
Several4080720101094694139186218264287
surgeons4409720101093788120173221274327364
provided4815720101095284136181205258306361
insight5217720101092274112134187240271
as5530720101094582
regards3940734101093078132178209262300
the4282734101093183131
management44557341010978124176222275323402450503534
of5031734101095179
BA51527341010951108
injuries.530273410109217497149180203251289310
Difficulties3940748101096081107136159199248268297318363398
and4361748101094493144
failures452874810109277091111160189234270
were48247481010966111141186
not50367481010950100130
infrequent,519274810109217197128173225275321371401420
given3940762101095172117162213
the4178762101093081127
arterial4331762101094474107152182204248270
small46277621010936111156177199
size,485276210109355796142161
superficial5038762101093686138185215245269310332375397
site,546176210109365788133152
and3940776101094496149
the4116776101093082129
high4272776101095173126178
incidence4476776101092274116138191238290333379
of4881776101095179
spasm4986776101093790136172250
developFig.5262776101095210014419121326531934061001124872127151
1a,51661001125195121
1b.661610011251102126
(1a):83361501072462102125138
A993615010749
25-year-old106461501074283110148186232258282330349395
male1481615010772118137175
presented167861501074672110141179226252289335
with34072501076280106152
a513725010745
history5797250107466494120163189229
of82972501074568
gunshot91772501074591137167212257283
to122072501072670
the131172501072672110
right14427250107264489135160
upper162372501074591137175201
limb,184572501071837108153167
causing34083501073781126155172217262
a615835010745
compound67383501073880151196241287333377
fracture10648350107224891128155200225261
of133983501074467
the141983501072772110
humerus,154283501074691161199225270299315
proximal18708350107457111434094501073655126171189
radius,54894501072669114132178207224
and79194501074591136
ulnar94794501074563110155180
bones114694501074691138176207
associated137294501074676106150189207252278314360
with175194501076280106152
BA192294501074391
injury;34010550107186482127152192208
(1b):561105501072461101122135
the710105501072672110
same833105501073276147185
patient1032105501074590116134172218243
explored1288105501073876122140185211247293
for159410550107236793
BA1701105501074390
injury;180510550107186481127152191207
both340116501074489114158
proximal511116501074469112147164233277295
and818116501074489133
distal96411650107446290115157175
ends1151116501073782126155
of1318116501074467
the1397116501072670107
BA1517116501074288
are1618116501074469105
arrowed173511650107446994136197234278
1a.425136701125094119
1b.4253266011250100124
Fig.393961001124771125149
2.411161001125075
(2a)423261501072463106128
A4381615010748
30-year-old444961501074283113150187233258282329348393
male4863615010771116135173
with505661501076281106152
a5229615010745
history52946150107476594121164190230
of554461501074568
large39397250107196489133171
shell413172501073176114132151
injury43027250107196582128154193
to451672501072670
the460672501072773111
BA473872501074390
with484972501076280106152
segmental502272501073168114185223270295338356
loss53997250107196494124
of554472501074568
33939835010742
cm4002835010737108
who4132835010762108153
required430783501072562108153171197233279
interposition46078350107196590127152198244274291317335380426
reverse505583501072662101138164195232
great530983501074571107153178
saphenous550983501073176393994501074592130176221267297
vein42529450107387594140
(2b)440894501072463106128
2a.4039115901124995119
2b.40392250011250104128