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  • Title: Upper extremity complications of axillofemoral grafts.
    Author: Kempczinski R, Penn I.
    Journal: Am J Surg; 1978 Aug; 136(2):209-11. PubMed ID: 686265.
    Abstract:
    Four patients sustained five upper extremity complications after axillobifemoral grafting including brachial plexus injuries, axillary artery thrombosis, and arterial steal. To avoid these problems, the following precautions are recommended: (1) proper positioning of the patient to prevent hyperabduction of the shoulder; (2) adequate exposure of the axillary artery during dissection and gentle handling of the nerve trunks; (3) meticulous technic during construction of the proximal anastomosis and avoidance of undue tension on the graft; and (4) careful preoperative assessment of the axillary-subclavian artery as a potential donor vessel.
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