지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 204 - 211 (8page)
- DOI
- https://doi.org/10.13004/kjnt.2021.17.e28
이용수
초록· 키워드
오류제보하기
Iatrogenic vertebral artery injury (VAI) that occurs during cervical spine surgery can cause life-threatening complications, such as arteriovenous fistulas, catastrophic bleeding, neurological impairment, cerebral ischemia, and death. We report a case of dominant VAI during surgery and the treatment of a 60-year-old man diagnosed with a C1-2-3 metastatic spine tumor from urothelial carcinoma. Active bleeding occurred during tumor resection using pituitary forceps, immediately followed by gauze packing and manual compression. Post further resection, we found that the vertebral artery (VA) was completely severed. After temporary clamping on both sides of the damaged VA, an artificial graft anastomosis was performed. After verifying that the flow was intact using Doppler Sonography, Occiput-C1-4-5-6 posterolateral fusion was performed. Angiography was performed immediately after surgery. We found a thrombus occluding the left VA, and performed mechanical thrombectomy and stent insertion. The final angiography showed good VA flow with no emboli. In this case, VA anastomosis and endovascular treatment were performed within a relatively short period of time post VAI, and the patient was able to recover without any neurological deficits.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Burke JP / 2005 / Iatrogenic vertebral artery injury during anterior cervical spine surgery / Spine J 5:508~514
Chen JF / 2005 / Posterior atlantoaxial transpedicular screw and plate fixation. Technical note / J Neurosurg Spine 2:386~392
Coyne TJ / 1995 / C1-C2 posterior cervical fusion : long-term evaluation of results and efficacy / Neurosurgery 37:688~692
Ebraheim N / 1996 / Anatomic consideration of C2 pedicle screw placement / Spine 21:691~695
Golfinos JG / 1994 / Repair of vertebral artery injury during anterior cervical decompression / Spine 19(Suppl):2552~2556
Chen JF / 2005 / Posterior atlantoaxial transpedicular screw and plate fixation. Technical note / J Neurosurg Spine 2:386~392
Coyne TJ / 1995 / C1-C2 posterior cervical fusion : long-term evaluation of results and efficacy / Neurosurgery 37:688~692
Ebraheim N / 1996 / Anatomic consideration of C2 pedicle screw placement / Spine 21:691~695
Golfinos JG / 1994 / Repair of vertebral artery injury during anterior cervical decompression / Spine 19(Suppl):2552~2556
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