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腕部超选择性导管血管造影术（SCAW）：带血管蒂骨移植的方法

Superselective Catheter Angiographies of the Wrist (SCAW): Approaches for Vascularized Bone Grafts.

作者信息

Goelz Leonie, Kim Simon, Eisenschenk Andreas, Mutze Sven, Asmus Ariane

机构信息

Department of Radiology and Neuroradiology, BG Klinikum Unfallkrankenhaus Berlin, Warener Str. 7, 12683 Berlin, Germany.

Institute for Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Ferdinand-Sauerbruch-Str., 17475 Greifswald, Germany.

出版信息

Diagnostics (Basel). 2023 Mar 22;13(6):1198. doi: 10.3390/diagnostics13061198.

DOI:10.3390/diagnostics13061198
PMID:36980506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10047392/
Abstract

This study assesses the variability of the palmar radiocarpal artery (PRCA), dorsal carpal branch of the ulnar artery (DCBUA), and anterior interosseous artery (AIA) in superselective catheter angiographies of the wrist (SCAW). Secondary analysis of consecutive SCAW (2009-2011). Measurements of the distances of the PRCA to the midface of the radiocarpal joint, the DCBUA to the styloid process of the ulnar, and maximum diameters of PRCA, DCBUA, and AIA. Seven female and ten male patients (mean 35 years) received SCAW. All patients suffered from Kienbock's disease. The mean distance from the PRCA to the radiocarpal joint was 7.9 ± 2.3 mm and the distance from the DCBUA to the styloid process of the ulna was 29.6 ± 13.6 mm. The mean maximum diameter of the PRCA was 0.6 ± 0.2 mm, that of the DCBUA was 1.1 ± 0.4 mm, and that of the AIA 1.2 ± 0.3 mm. In six cases (35%), all three arteries contributed to the PRCA; in eight cases (47%), the radial and AIA; in two cases (12%), the radial and ulnar artery; and in one case (6%), only the radial artery contributed. SCAW are feasible to assist in preoperative planning. Os pisiforme transfer with DCBUA might be the best choice for a vascular bone graft in Kienbock's disease.

摘要

本研究评估在腕部超选择性导管血管造影术（SCAW）中掌侧桡腕动脉（PRCA）、尺动脉腕背支（DCBUA）和骨间前动脉（AIA）的变异性。对连续的SCAW（2009 - 2011年）进行二次分析。测量PRCA至桡腕关节中面的距离、DCBUA至尺骨茎突的距离以及PRCA、DCBUA和AIA的最大直径。7名女性和10名男性患者（平均35岁）接受了SCAW。所有患者均患有月骨无菌性坏死。PRCA至桡腕关节的平均距离为7.9±2.3毫米，DCBUA至尺骨茎突的距离为29.6±13.6毫米。PRCA的平均最大直径为0.6±0.2毫米，DCBUA为1.1±0.4毫米，AIA为1.2±0.3毫米。在6例（35%）中，所有三条动脉均参与构成PRCA；在8例（47%）中，桡动脉和AIA参与；在2例（12%）中，桡动脉和尺动脉参与；在1例（6%）中，仅有桡动脉参与。SCAW有助于术前规划。采用DCBUA进行豌豆骨移植可能是月骨无菌性坏死血管化骨移植的最佳选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/be6566f5381f/diagnostics-13-01198-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/b10f33b63035/diagnostics-13-01198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/39cdff0a5993/diagnostics-13-01198-g002.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/934206bd0366/diagnostics-13-01198-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/047e1fe55217/diagnostics-13-01198-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/3bb31f319aa1/diagnostics-13-01198-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/bd4babde5651/diagnostics-13-01198-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/6a9e3f19b647/diagnostics-13-01198-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/be6566f5381f/diagnostics-13-01198-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/b10f33b63035/diagnostics-13-01198-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/39cdff0a5993/diagnostics-13-01198-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/65d50862104d/diagnostics-13-01198-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/934206bd0366/diagnostics-13-01198-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/047e1fe55217/diagnostics-13-01198-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/3bb31f319aa1/diagnostics-13-01198-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/bd4babde5651/diagnostics-13-01198-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/6a9e3f19b647/diagnostics-13-01198-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/234f/10047392/be6566f5381f/diagnostics-13-01198-g009.jpg

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本文引用的文献

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Vascularized pedicled bone graft from the distal radius supplied by the anterior interosseous artery for treatment of ulnar shaft nonunion: An anatomical study of cadavers and a case report.由骨间前动脉供血的桡骨远端带血管蒂骨移植治疗尺骨干骨不连：尸体解剖学研究和 1 例病例报告。
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