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因感染导致SALIBI夹从颈部颈内动脉脱出。

Explusion of SALIBI-clamp from the internal carotied artery in the neck by infection.

作者信息

Potthoff P C

出版信息

Neurochirurgia (Stuttg). 1977 Sep;20(5):165-9. doi: 10.1055/s-0028-1090372.

DOI:10.1055/s-0028-1090372
PMID:333303
Abstract

A left infraclinoid carotid aneurysm (3 x 2-5 x 2 cm) in a 60-year old woman presented with total ophthalmoplegia and trigeminal symptoms. A staged internal carotied occlusion in the neck was performed using a SALIBI-clamp. A chronic infectious fistula developed (Klebsiella aerogenes). When superficial debridement failed, operative removal of the SALIBI-clamp was planned seven months after its insertion. The clamp was found subcutaneously without any relation to the internal carotid artery and was easily removed. Subsequent catheter angiography proved the left internal carotied to be completely occluded in the neck. No cross filling of the aneurysm could be demonstrated from the right carotied nor the vertebro-basilar arteries. The neurological deficit remained unchanged. The wound closed promptly without further signs of infection.

摘要

一名60岁女性患有左侧床突下颈动脉瘤(3×2 - 5×2厘米),出现完全性动眼神经麻痹和三叉神经症状。在颈部采用SALIBI夹进行分期颈内动脉闭塞术。出现了慢性感染性瘘(产气克雷伯菌)。当浅表清创失败后,计划在插入SALIBI夹七个月后手术取出该夹子。夹子在皮下被发现,与颈内动脉无任何关联,且很容易被取出。随后的导管血管造影证实左侧颈内动脉在颈部完全闭塞。未发现右侧颈动脉或椎基底动脉有向动脉瘤的交叉供血。神经功能缺损未改变。伤口迅速愈合,无进一步感染迹象。

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Late arterial erosion of a Crutchfield vascular clamp presenting with transient ischemic attacks: review of treatment options.Crutchfield血管夹晚期动脉侵蚀伴短暂性脑缺血发作:治疗选择综述
J Natl Med Assoc. 1991 Jan;83(1):69-72.