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经手术切除颈静脉球体瘤后远端迁移 Onyx 的机械取栓:技术报告和文献复习。

Mechanical Embolectomy of Distally Migrated Onyx After Surgical Resection of Glomus Vagale Tumor: Technical Report and Review of Literature.

机构信息

Department of Neurological Surgery, University of Illinois at Chicago, Chicago, Illinois, USA.

Department of Surgery, Advocate Illinois Masonic Medical Center, Chicago, Illinois, USA.

出版信息

World Neurosurg. 2019 Dec;132:292-294. doi: 10.1016/j.wneu.2019.08.153. Epub 2019 Aug 30.

Abstract

BACKGROUND

Endovascular embolization is an important tool in the management of multiple pathologies as a preoperative adjunct in the care of arteriovenous malformations or vascular tumors.

CASE DESCRIPTION

We report a case of delayed distal Onyx migration after surgical resection of a glomus vagale tumor, which had been preoperatively embolized. In this report, the patient underwent successful embolectomy of the migrated Onyx fragment using manual aspiration.

CONCLUSIONS

This case represents the first in the literature to describe this potential delayed complication, as well as its management strategy.

摘要

背景

血管内栓塞是多种疾病治疗的重要手段,可作为动静脉畸形或血管肿瘤治疗过程中的术前辅助手段。

病例描述

我们报告了一例在手术切除颈静脉球体瘤后发生的 Onyx 胶远端迟发性移位的病例,该患者此前曾接受过术前栓塞治疗。在本报告中,患者成功地通过手动抽吸对移位的 Onyx 胶碎片进行了取栓。

结论

本例是文献中首例描述这种潜在迟发性并发症及其处理策略的病例。

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