Combat injuries of the subclavian-axillary arterial segment: three types of surgical control

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Abstract

Literary data on the treatment of combat injuries in the subclavian-axillary arterial segment are summarized. Based on our own experience in providing specialized vascular care to 36 wounded with gunshot injuries of the subclavian and axillary arteries, comparative results of three methods of providing surgical care were obtained: open, endovascular and hybrid interventions. Definitive surgical care for such wounded patients should be provided in large multidisciplinary medical institutions with open reconstructive, endovascular, and hybrid surgery capabilities. Palliative methods of improving collateral blood flow for injuries of the subclavian and axillary arteries should remain in the arsenal of vascular surgery and, with adequate indications, allow one to achieve good clinical results. It is necessary to further study the results and features of various methods of surgery for hard-to-reach arterial segments with the development of specific selection criteria.

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About the authors

A. V. Esipov

National Medical Research Center for High Medical Technologies - the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: 3hospital@mil.ru

лауреат Государственной премии РФ им. Маршала Советского Союза Г.К.Жукова, заслуженный врач РФ, доктор медицинских наук, доцент, генерал-майор медицинской службы

Russian Federation, Krasnogorsk, Moscow region

O. V. Pinchuk

National Medical Research Center for High Medical Technologies - the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: 3hospital@mil.ru

заслуженный врач РФ, профессор, полковник медицинской службы

Russian Federation, Krasnogorsk, Moscow region

V. V. Yamenskov

National Medical Research Center for High Medical Technologies - the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: 3hospital@mil.ru

лауреат премии Правительства РФ, доктор медицинских наук, полковник медицинской службы

Russian Federation, Krasnogorsk, Moscow region

A. V. Ivanov

National Medical Research Center for High Medical Technologies - the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: 3hospital@mil.ru
Russian Federation, Krasnogorsk, Moscow region

S. A. Ushakov

National Medical Research Center for High Medical Technologies - the A.A.Vishnevsky Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: 3hospital@mil.ru
Russian Federation, Krasnogorsk, Moscow region

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Copyright (c) 2024 Esipov A.V., Pinchuk O.V., Yamenskov V.V., Ivanov A.V., Ushakov S.A.


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