1
|
Petrov KY, Zamskiy KS, Kranin DL, Bobin AN, Pecherskaya MS. [Surgical treatment of traumatic arteriovenous fistulas of extremities]. Khirurgiia (Mosk) 2024:92-102. [PMID: 39008702 DOI: 10.17116/hirurgia202407192] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/17/2024]
Abstract
The number of victims with damage to the great vessels has increased in recent years due to escalation of armed conflicts. Vascular damages comprise 3% of traumatic injuries in peacetime, and their incidence increases to 15% during hostilities. False aneurysms and traumatic arteriovenous fistulas follow vascular injury in 48.9-68.7% of cases. We present open surgical treatment of traumatic arteriovenous fistulas. The issues of diagnosis, surgical tactics, algorithm of intervention and options for successful treatment are described.
Collapse
Affiliation(s)
- K Yu Petrov
- Burdenko Main Military Clinical Hospital, Moscow, Russia
| | - K S Zamskiy
- Burdenko Main Military Clinical Hospital, Moscow, Russia
| | - D L Kranin
- Burdenko Main Military Clinical Hospital, Moscow, Russia
| | - A N Bobin
- Burdenko Main Military Clinical Hospital, Moscow, Russia
| | | |
Collapse
|
2
|
Mzoughi Z, Djebbi A, Bayar R, Frahat LB, Gharbi L, Khalfallah MT. Open liver trauma causing hepatico caval fistula successfully treated by embolization. Trauma Case Rep 2017; 7:3-6. [PMID: 30014024 PMCID: PMC6024110 DOI: 10.1016/j.tcr.2017.01.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/02/2017] [Indexed: 11/15/2022] Open
Abstract
Introduction Traumatic arteriovenous fistula results from a breach of vascular integrity between a vein and an adjacent artery. Hepato caval fistula is a rare entity. Open surgical approaches have increasingly given way to radiological embolization techniques in the treatment of these arteriovenous fistulae, especially in intrahepatic locations. Case report We report the case of a patient diagnosed with a fistula, from the right branch of the liver artery to the right hepatic vein, developed following an open liver trauma. Successful embolization through the transarterial route was achieved with simple outcomes. Conclusion The interventional radiology for endovascular management has revolutionized the treatment of hepatic liver traumas. The conservative treatment is henceforth the common approach even if hepatic artery or hepatic veins are involved in case of arteriovenous fistula.
Collapse
Affiliation(s)
- Zeineb Mzoughi
- Tunis Manar University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia.,General Surgery Department, Mongi Slim Hospital, Sidi Daoued, La Marsa, Tunisia
| | - Achref Djebbi
- Tunis Manar University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia.,General Surgery Department, Mongi Slim Hospital, Sidi Daoued, La Marsa, Tunisia
| | - Rached Bayar
- Tunis Manar University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia.,General Surgery Department, Mongi Slim Hospital, Sidi Daoued, La Marsa, Tunisia
| | - Leila Ben Frahat
- Tunis Manar University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia.,General Surgery Department, Mongi Slim Hospital, Sidi Daoued, La Marsa, Tunisia.,Radiology Department, Mongi Slim Hospital, Sidi Daoued, La Marsa, Tunisia
| | - Lassaad Gharbi
- Tunis Manar University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia.,General Surgery Department, Mongi Slim Hospital, Sidi Daoued, La Marsa, Tunisia
| | - Mohamed Taher Khalfallah
- Tunis Manar University, Faculty of Medicine of Tunis, 1007 Tunis, Tunisia.,General Surgery Department, Mongi Slim Hospital, Sidi Daoued, La Marsa, Tunisia
| |
Collapse
|