与上脊椎骨折相关的大型出血成功通过透气管动脉栓塞治疗:一个病例报告
Toshiro Imamoto1, Makoto Sawano1, Makoto Murase1
1Department of Emergency Medicine and Critical Care, Saitama Medical Center, Saitama Medical University, Kawagoe, JPN.
Cureus
|February 8, 2024
概括
椎骨折导致的椎动脉损伤 (BVAI) 可能会导致闭塞. 一个罕见的脊椎动脉分支损伤引起的出血性休克病例,通过超选择性动脉栓塞成功治疗.
科学领域:
- 血管外科 血管外科
- 神经外科 神经外科
- 创伤外科 手术 创伤外科
背景情况:
- 与椎骨折相关的椎动脉损伤 (BVAI) 存在重大挑战,主要是由于潜在的阻塞.
- 丹佛V级伤害,涉及脊椎动脉截断,非常罕见,往往致命,报告的治疗方法有限.
研究的目的:
- 报告一种罕见的出血性休克病例,该病例是由脊椎动脉分支损伤引起的,该损伤是脊椎上部椎骨折的次要原因.
- 为了突出这种关键血管损伤的成功管理.
主要方法:
- 患者呈现出因脊椎动脉的一个分支所造成的出血性休克.
- 通过先进的成像,诊断得到了证实.
- 治疗涉及成功的跨导管动脉栓塞 (TAE).
- 超选择性动脉栓塞对于保护主要的脊椎动脉干至关重要.
主要成果:
- 通过TAE有效控制出血性休克.
- 超选择性栓塞成功实现了静血,同时保持了脊椎动脉通透性.
- 患者的病情在干预后稳定下来.
结论:
- 在的创伤中血管损伤,即使是脊椎动脉的分支血管,也可能导致严重的并发症,如出血性休克.
- 超选择性TAE是一种可行的和有效的治疗选择,用于管理这种伤害,保持必要的血液流动.
- 意识到潜在的分支血管参与对于管理形脊椎动脉损伤至关重要.
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