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因严重脑损伤未使用肝素进行钝性创伤性无名动脉假性动脉瘤腔内修复术

Blunt Traumatic Innominate Artery Pseudoaneurysm Endografting without Heparin Due to Severe Brain Injury.

作者信息

Nieber Derek P, Lewis C Taylor, Dayal Rajeev, Khariton Konstantin, Lang Samuel J, Mack Charles A

机构信息

Department of Cardiothoracic Surgery, Weill Cornell Medicine, New York, New York.

Department of Surgery, Weill Cornell Medicine, Flushing, New York.

出版信息

Aorta (Stamford). 2022 Feb;10(1):32-34. doi: 10.1055/s-0041-1739486. Epub 2022 May 31.

DOI:10.1055/s-0041-1739486
PMID:35640585
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9179206/
Abstract

Blunt traumatic innominate artery injuries occur in polytrauma victims who have suffered high-speed motor vehicle collisions. Their associated injuries may preclude the use of heparin and affect surgical management and perioperative neurological risk. The uniqueness of this case is combining the arterial injury repair with a severe progressive neurological injury that prohibited standard perioperative antiplatelet or anticoagulent use.

摘要

钝性创伤性无名动脉损伤发生在遭受高速机动车碰撞的多发伤患者中。其相关损伤可能会妨碍肝素的使用，并影响手术管理和围手术期神经风险。本病例的独特之处在于将动脉损伤修复与严重的进行性神经损伤相结合，这使得围手术期无法使用标准的抗血小板或抗凝药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eed2/9179206/ba2c6349dc5f/10-1055-s-0041-1739486-i200073-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eed2/9179206/e721f0fa2ba9/10-1055-s-0041-1739486-i200073-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eed2/9179206/ba2c6349dc5f/10-1055-s-0041-1739486-i200073-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eed2/9179206/e721f0fa2ba9/10-1055-s-0041-1739486-i200073-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eed2/9179206/ba2c6349dc5f/10-1055-s-0041-1739486-i200073-2.jpg

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本文引用的文献

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A Systematic Review of Procedural Outcomes in Patients With Proximal Common Carotid or Innominate Artery Disease With or Without Tandem Ipsilateral Internal Carotid Artery Disease.近端颈总或无名动脉疾病伴或不伴同侧颈内动脉串联疾病患者的操作结果的系统评价。
Eur J Vasc Endovasc Surg. 2020 Dec;60(6):817-827. doi: 10.1016/j.ejvs.2020.06.040. Epub 2020 Sep 11.
2
Successfully Kissing Stent of Innominate Artery and Left Common Carotid Artery Subsequent to Blunt Injury, in the Setting of a Bovine Aortic Arch.在牛主动脉弓情况下钝性损伤后无名动脉和左颈总动脉成功吻接支架
Ann Vasc Surg. 2020 Apr;64:410.e7-410.e10. doi: 10.1016/j.avsg.2019.10.047. Epub 2019 Oct 19.
3
Successful Revascularization of Aortic Arch in a 39-Year-Old Blunt Trauma Patient with Acute Diffuse Axonal Injury without the Use of Systemic Anticoagulation.
Ann Vasc Surg. 2017 Oct;44:418.e1-418.e5. doi: 10.1016/j.avsg.2017.03.177. Epub 2017 May 10.
4
Blunt traumatic innominate pseudoaneurysm and left common carotid occlusion with an associated bovine aortic arch.钝性创伤性无名动脉假性动脉瘤合并左颈总动脉闭塞及相关的牛主动脉弓。
J Thorac Cardiovasc Surg. 2005 Sep;130(3):928-9. doi: 10.1016/j.jtcvs.2005.03.005.
5
Rupture of the innominate artery from blunt trauma: current options for management.钝性创伤导致无名动脉破裂：当前的处理选择
J Card Surg. 2005 Sep-Oct;20(5):455-9. doi: 10.1111/j.1540-8191.2005.00111.x.
6
Blunt injury of the innominate artery: a case report and review of literature.无名动脉钝性损伤：一例病例报告及文献复习
Ann Thorac Cardiovasc Surg. 2004 Aug;10(4):218-23.
7
Traumatic rupture of the innominate artery.无名动脉创伤性破裂
Eur J Cardiothorac Surg. 2003 May;23(5):782-7. doi: 10.1016/s1010-7940(03)00032-0.