对于Iatrogenic脊椎动脉损伤的急性内血管治疗:一个案例报告
Yuhei Ito1, Takao Kojima1, Yu Yamanoi1
1Department of Neurosurgery, Fukushima Medical University, Fukushima, Fukushima, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
一个罕见的脊椎动脉 (VA) 损伤的病例,由错位的中央静脉导管外套成功地用血管内栓塞治疗,防止神经复杂症.
科学领域:
- 血管外科 血管外科
- 干预性神经放射学 干预性神经放射学
- 神经外科 神经外科
背景情况:
- 中枢静脉导管是常见的手术,但罕见的并发症,如脊椎动脉 (VA) 损伤可能会发生.
- 阳性VA损伤虽然很少发生,但会带来很大的风险,包括出血和中风.
研究的目的:
- 报告一次针对急性阴性脊椎动脉损伤的成功内血管治疗的病例.
- 突出及时管理的重要性,以防止不良结果.
主要方法:
- 一名68岁的妇女在中央静脉导管放置期间遭受了脊椎动脉损伤.
- 使用内血管技术,包括线圈栓塞,以封闭受伤的动脉.
- 一个气球导导管便于精确地放置栓塞物质.
主要成果:
- 内血管手术成功堵塞了受伤的脊椎动脉.
- 患者在术后没有经历神经缺陷.
- 对血流控制和内血流的注意对于有利的结果至关重要.
结论:
- 内血管治疗是急性阴性脊椎动脉损伤的有效治疗方法.
- 及时识别和干预对于实现良好的结果和预防神经系统并发症至关重要.
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