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在复杂的椎脊椎手术中进行手术内立体动脉造影

Luke Mugge¹, Danielle D Dang¹, Mateo Ziu²

¹Department of Neurosurgery, Inova Neuroscience and Spine Institute, Falls Church, USA.

|April 23, 2024

概括

该O臂成像系统增强了脊柱血管解剖学的外科可视化,提高了椎脊柱复杂手术中创伤和瘤学过程中的安全性. 这种技术有助于预防阳性损伤.

科学领域:

神经外科神经外科
血管外科血管外科
放射学放射学是一门学科.

背景情况:

包括O臂系统在内的手术内导航已经改变了脊柱仪器仪表.
甲臂对脊柱轴平面成像的能力在可视化脊柱血管解剖方面未得到充分利用.

研究的目的:

报告O臂成像系统的新型应用,用于增强脊柱血管解剖学的可视化.
为了证明O臂在治疗椎创伤和瘤患者中的实用性.
评估使用O臂进行手术前血管映射的安全性和有效性.

主要方法:

两种不同的患者病例的回顾性图表审查,涉及椎脊椎病理.
在外科手术之前,将静脉内或静脉内对比剂注射与O臂成像进行整合.
使用O臂 (移动X射线系统) 进行脊椎动脉的轴平面可视化.

主要成果:

在杰斐逊骨折病例中,成功地可视化了延伸的脊椎动脉,与移动骨段相邻.
在转移性宫脊椎病变病例中,证明了瘤包围的脊椎动脉的清晰划线.
两位患者都经历了成功的内血管和脊柱手术,没有任何脊椎动脉损伤.

结论:

在O臂系统,结合对比注射,有效地可视化脊柱血管解剖学.
这种技术为部脊柱创伤和瘤手术提供了改善的手术内安全性.
这是第一个报告O臂在复杂手术期间增强脊柱血管可视化的实用性系列.

关键词:

血管造影图 (angiogram) 是一个血管造影图.宫脊椎宫脊椎是什么意思在O-手臂.这是一种立体出租车 (stereotaxis).脊椎动脉脊椎动脉脊椎动脉

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