一个患有联合创伤性辐射和关动脉损伤的患者的附带循环
Sahil Patel1, Samantha Klein2, Tripti Mathur1
1Department of Surgery, University of California San Francisco - East Bay, Oakland, CA.
Journal of vascular surgery cases and innovative techniques
|September 25, 2024
概括
联合辐射和关动脉损伤的及时治疗至关重要. 这一案例凸显了附带途径如何在最初的修复失败的情况下挽救四肢,强调了前臂血管的解剖学变异性.
科学领域:
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
- 人体解剖学 解剖学 解剖学
背景情况:
- 辐射动脉和动脉的综合损伤带有截肢的高风险 (>35%) 如果不及时进行血管化.
- 穿透两条前臂动脉的创伤是一个重大的外科手术挑战.
研究的目的:
- 描述一个成功挽救肢体的案例,该案是在联合辐射和关动脉损伤后成功挽救的.
- 为了强调附带循环和解剖学变异性在管理复杂动脉创伤中的重要性.
主要方法:
- 一个患有穿透性损伤的病人向放射性和关动脉呈现.
- 治疗涉及关动脉的初始绑定和放射性动脉的初级修复,后者被堵塞了.
- 进行了延迟的辐射-辐射动脉旁路.
主要成果:
- 尽管最初的修复失败和关动脉绑定,但患者的手被挽救了,这可能是由于强大的附带动脉通路.
- 患者在延迟绕道手术后实现了有意义的神经运动功能.
结论:
- 前臂血管解剖学的变化可以显著影响动脉损伤的结果.
- 联合辐射和关动脉损伤的及时和适当的管理对于防止肢体损失和功能残疾至关重要.
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