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Perspectives in Vascular Surgery and Endovascular Therapy
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Upper Extremity Vascular Problems in Athletes

Cornelius Olcott, IV

Division of Vascular Surgery, Stanford University School of Medicine, Stanford, CA

Raul J. Guzman

Division of Vascular Surgery, Vanderbilt University School of Medicine, Nashville, TN

Christopher K. Zarins

Division of Vascular Surgery, Vanderbilt University School of Medicine, Nashville, TN

Upper extremity vascular injuries are being seen with increasing frequency. These injuries particularly involve the subclavian artery and vein, the axillary artery, and the arteries of the hand. Stretch injury to the branches of the axillary artery may also occur, leading to aneurysm formation. These aneurysms may develop intraluminal thrombus, which can embolize as a result of compression of the aneurysm with repetitive activity. Noninvasive testing has been found to be very helpful in the diagnosis of these sports-related injuries. Proper management depends upon the vessel involved. With appropriate man agement, results have been good, and the majority of these athletes, profes sional and amateur, return to full athletic activity.

Key Words: Upper extremity • ischemia • aneurysm

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 10, No. 1, 1-14 (1999)
DOI: 10.1177/153100359901000102
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