Oh Daeseok, Lee Hyun-Seong
Department of Anesthesia and Pain Medicine, Inje University Haeundae Paik Hospital, Busan, Republic of Korea.
J Med Ultrasound. 2021 Jun 16;30(2):143-145. doi: 10.4103/JMU.JMU_34_21. eCollection 2022 Apr-Jun.
Ultrasound provides direct visualization of blood vessels and soft tissues around the sympathetic chain and potentially minimizes injury to these critical anatomic structures when performing stellate ganglion block (SGB). We report an atypical left vertebral artery course detected during an ultrasound prescan before performing a SGB. The left vertebral and inferior thyroid arteries were identified on the longus colli muscle's ventral surface at the C6 level. This report was the first to demonstrate ultrasound images of a vulnerable vertebral artery to intravascular injection. The study emphasized the importance of identifying the sonoanatomy before performing procedures involving the anterior cervical vertebrae.
超声可直接显示交感神经链周围的血管和软组织，在进行星状神经节阻滞（SGB）时，有可能将对这些关键解剖结构的损伤降至最低。我们报告了一例在进行SGB前超声预扫描时发现的非典型左椎动脉走行。在C6水平的颈长肌腹侧面识别出左椎动脉和甲状腺下动脉。本报告首次展示了易发生血管内注射的椎动脉的超声图像。该研究强调了在进行涉及颈椎前路的手术前识别超声解剖结构的重要性。
