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案例报告:选择性操作管理的区域3动脉穿刺切断

Brian Foresi¹, Ananya Tawde², Amy P Rushing³

¹Northeast Ohio Medical University, Rootstown, OH, USA.

International journal of surgery case reports

|September 17, 2024

概括

穿透3区的动脉损伤是罕见的. 延迟内血管支架是稳定患者的经过验证治疗方法,为这种高风险疾病提供了替代即时修复的替代方案.

科学领域:

血管外科血管外科
创伤外科手术创伤外科
神经外科神经外科

背景情况:

在第3区内透性动脉损伤 (CAI) 是罕见的,并且由于解剖学复杂性而带来了重大管理挑战.
高发病率和近100%的死亡率强调了有效的治疗策略的紧迫性.
现有的对3区CAI的治疗建议有限,需要具体案例的方法.

研究的目的:

描述一个穿透区域3内动脉损伤的病例.
概述一种治疗策略,包括在血液动力学稳定的患者中延迟内血管支架.
讨论这种罕见而具有挑战性的损伤的管理考虑.

主要方法:

一名17岁的男性出现了3区右侧内动脉 (RICA) 截断和枪伤后的伪动脉瘤.
患者在血液动力学上稳定,并保持了向右半球的附带流.
一个多学科的团队选择了延迟的内血管支架,而不是由于中风,流血和死亡的高风险而出现的开放性修复.

主要成果:

图像检测证实了完整的RICA切断和一个远端伪动脉瘤.
成功地进行了RICA的延迟血管间支架.
患者的血液动力学稳定性和保存的附带循环支持了保守的方法.

结论:

3区CAI的管理取决于患者的血液动力学稳定性.
延迟内血管干预是3区CAI稳定患者的可行和验证的选择.
在这些复杂的损伤的决策中,平衡血液静止与大脑输液是至关重要的.

关键词:

急性重症监护急性重症监护急性重症监护一个子弹的子弹.冠状动脉冠状动脉冠状动脉跨学科护理跨学科的护理神经干预是一种神经干预.外科手术手术手术

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