Metro Spinal Clinic, Melbourne, Victoria, Australia.
Pain Med. 2010 Feb;11(2):229-31. doi: 10.1111/j.1526-4637.2009.00776.x.
Inadvertent cannulation or penetration of the cervical radicular arteries during cervical transformaminal epidural injections (TFESIs) is a serious clinical risk, and purportedly, the cause of possible spinal cord injury sustained during this procedure.
Here, we present a case of inadvertent intravascular penetration of a cervical radicular artery during a C5-6 TFESI and demonstrate the best image capture to date of direct ramification of a cervical radicular artery into the anterior spinal artery.
This observation reinforces the need for contrast injection and real-time digital subtraction fluoroscopy during cervical TFESIs for the prevention of spinal cord injury and fatalities.
在颈椎椎间孔硬膜外注射（TFESI）过程中，颈椎神经根动脉意外被插管或穿透是一种严重的临床风险，据称，这也是在该过程中可能导致脊髓损伤的原因。
在此，我们介绍了一例 C5-6 TFESI 中颈椎神经根动脉意外血管内穿透的病例，并展示了迄今为止对颈椎神经根动脉直接分支进入脊髓前动脉的最佳图像捕获。
这一观察结果强调了在颈椎 TFESI 过程中需要进行对比注射和实时数字减影荧光透视，以预防脊髓损伤和死亡。
