穿透脊椎动脉损伤的远端和近端栓塞:一个说明案例
Natsuki Akaike1, Hiroyuki Ikeda1, Haruki Yamashita1
1Department of Neurosurgery, Kurashiki Central Hospital, Kurashiki, Japan.
Journal of neurosurgery. Case lessons
|August 25, 2025
概括
治疗透性脊椎动脉损伤需要谨慎管理. 在移除外来物体之前进行手术前的栓塞可以预防危险的并发症,
科学领域:
- 神经外科
- 血管外科
- 干预性放射学
背景情况:
- 透脊椎动脉 (VA) 损伤带来重大风险,包括远端栓塞和出血.
- 盲目移除外来物体可能会加剧这些并发症.
研究的目的:
- 描述一个穿透外来物体的VA损伤案例.
- 评估手术前栓塞治疗这种损伤的有效性.
主要方法:
- 一名68岁的男性从金属棒中入部受伤, 接受了CT和CT血管学.
- 通过对侧方法进行逆向远端栓塞,然后进行近端栓塞.
- 在成功栓塞后, 外来物体被移除.
主要成果:
- 电脑扫描显示左侧静脉塞.
- 在移除外来物体之前成功实现了栓塞.
- 在切除过程中没有发生动脉出血;术后MRI显示小脑梗塞没有神经缺陷.
结论:
- 在外来物体被移除之前, 血管评估和栓塞至关重要.
- 综合逆向远端和近端栓塞是预防栓塞和控制出血的有效策略.
- 这种方法可能是管理VA中保留的异物的一种有价值的技术.
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