创伤性脊椎动脉截断损伤:一个说明性的案例
Chien-Tung Yang1, Wei-Liang Chen2, Ying-Lin Tseng2
1Department of Neurosurgery, China Medical University Hospital, Taichung, Taiwan.
Journal of neurosurgery. Case lessons
|April 21, 2025
概括
脊椎动脉损伤 (VAI) 是一种罕见但严重的疾病. 这一案例证明了使用支架放置成功治疗V级切割VAI,突出了动脉重建的重要性.
科学领域:
- 神经外科 神经外科
- 血管外科 血管外科
- 创伤外科 手术 创伤外科
背景情况:
- 脊椎动脉损伤 (VAI) 是创伤的罕见并发症,发生在0.24%-6%的病例中.
- VAI可能导致严重的结果,如缺血性中风和神经缺陷,症状发作延迟至受伤后6个月.
研究的目的:
- 报告一个成功管理复杂的脊椎动脉损伤的案例.
- 强调脊椎动脉重建在治疗严重VAI中的重要性.
主要方法:
- 一名64岁的男性患有C3-4骨折和左脊椎动脉 (VA) 截切,伪动脉瘤和动脉静脉发生了试图进行线圈栓塞.
- 通过支架安置和气球扩张实现了成功的VA重建.
- 患者随后接受了手术减压和固定,随后进行了双重抗血小板治疗.
主要成果:
- 患者没有出现神经缺陷而恢复,并在第13天出院.
- 一年后发现的静脉支架狭窄症,通过气球血管造形术成功治疗.
结论:
- 支架安置是丹佛尺度等级V切割VAI的有效治疗方法.
- 优先考虑VA重建对于严重的脊椎动脉损伤患者的最佳结果至关重要.
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