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Petrov K.Yu.

Burdenko Main Military Clinical Hospital

Chupin A.V.

Vishnevsky National Medical Research Center of Surgery

Zamsky K.S.

Burdenko Main Military Clinical Hospital

Chernyavin M.P.

Burdenko Main Military Clinical Hospital

Pecherskaya M.S.

Burdenko Main Military Clinical Hospital

Arzimanova Z.N.

Burdenko Main Military Clinical Hospital

Zaslavskaya M.A.

Burdenko Main Military Clinical Hospital

Golovushkina G.V.

Burdenko Main Military Clinical Hospital

Diagnostic algorithm and surgical treatment for traumatic arteriovenous fistulas of extremities

Authors:

Petrov K.Yu., Chupin A.V., Zamsky K.S., Chernyavin M.P., Pecherskaya M.S., Arzimanova Z.N., Zaslavskaya M.A., Golovushkina G.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(12): 85‑98

DOI: 10.17116/hirurgia202512185

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Table of contents

DIAGNOSTIC ALGORITHM AND SURGICAL TREATMENT FOR TRAUMATIC ARTERIOVENOUS FISTULAS OF EXTREMITIES
DIAGNOSTIC ALGORITHM AND SURGICAL TREATMENT FOR TRAUMATIC ARTERIOVENOUS FISTULAS OF EXTREMITIES

To cite this article:

Petrov KYu, Chupin AV, Zamsky KS, et al. Diagnostic algorithm and surgical treatment for traumatic arteriovenous fistulas of extremities. Pirogov Russian Journal of Surgery. 2025;(12):85‑98. (In Russ.)
https://doi.org/10.17116/hirurgia202512185

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To develop an optimal diagnostic and treatment algorithm for patients with vascular injuries and suspected gunshot traumatic arteriovenous fistulas (AVF) of limbs.

MATERIAL AND METHODS

There were 102 patients with injuries of great vessels of extremities complicated by traumatic AVFs. We observed 55 cases of isolated traumatic AVF and 47 cases of traumatic AVF with false aneurysm. We evaluated verification rate of traumatic AVFs by ultrasound specialists who performed routine scanning (daily) and those who used ultrasound in fast-protocol format. We analyzed the causes of diagnostic omissions at the stage of primary diagnosis. Necessary diagnostic measures depending on localization of traumatic AVF were determined. Algorithm of traumatic AVF treatment was developed.

RESULTS

Original diagnostic and treatment algorithm based on topographic localization of traumatic AVF and posttraumatic false aneurysm considers prognosis of limb movements and function, as well as allows to choose optimal diagnostic strategy, type and extent of surgical intervention.

CONCLUSION

Small incidence of this pathology often does not allow different specialists to detect, recognize and refer such patients to special hospitals in timely manner. Moreover, there are no clear diagnostic algorithms and methods for choosing surgical intervention.

Keywords:

AVF
traumatic AVF
vascular injury
false aneurysm
hybrid surgery
endovascular surgery

Authors:

Petrov K.Yu.

Burdenko Main Military Clinical Hospital

Chupin A.V.

Vishnevsky National Medical Research Center of Surgery

Zamsky K.S.

Burdenko Main Military Clinical Hospital

Chernyavin M.P.

Burdenko Main Military Clinical Hospital

Pecherskaya M.S.

Burdenko Main Military Clinical Hospital

Arzimanova Z.N.

Burdenko Main Military Clinical Hospital

Zaslavskaya M.A.

Burdenko Main Military Clinical Hospital

Golovushkina G.V.

Burdenko Main Military Clinical Hospital

Received:

31.01.2025

Accepted:

24.02.2025

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