Endovascular management of exsanguinating vertebral artery transection.
作者信息
Cohen José E, Rajz Gustavo, Itshayek Eyal, Umansky Felix, Gomori John M
机构信息
Department of Neurosurgery, Section of Endovascular Neurosurgery and Interventional Neuroradiology, Hadassah Stroke Center, Hadassah University Hospital, Jerusalem, Israel 91120.
出版信息
Surg Neurol. 2005 Oct;64(4):331-4; discussion 334. doi: 10.1016/j.surneu.2004.11.029.
BACKGROUND
Vertebral artery (VA) transection is a rarely described entity that may present dramatically with a life-threatening external hemorrhage.
CASE DESCRIPTION
A 25-year-old man that was victim of a terrorist attack presented a gunshot wound to the mouth with massive bleeding. The bullet perforated the oropharynx and injured the right VA. Combined antegrade and retrograde endovascular embolization by means of detachable coils allowed rapid control of the bleeding.
CONCLUSION
Bleeding related to VA transection can be managed safely by means of endovascular combined approaches.
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