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[头颈部创伤的血管内治疗]

[Endovascular Treatment for Head and Neck Trauma].

作者信息

Han Jae Won, Lee Jae Il, Hwangbo Lee

出版信息

J Korean Soc Radiol. 2023 Jul;84(4):792-808. doi: 10.3348/jksr.2023.0034. Epub 2023 Jul 25.

DOI:10.3348/jksr.2023.0034
PMID:37559799
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10407061/
Abstract

Trauma to the head and neck region can have serious consequences for vital organs such as the brain, and injuries to blood vessels can cause permanent neurological damage or even death. Thus, prompt treatment of head and neck vessels is crucial. Although the level of evidence is moderate, an increasing amount of research indicates that endovascular treatments can be a viable alternative to traditional surgery or medical management. Embolization or reconstructive endovascular procedures can significantly improve patient outcomes. This article provides an overview of various endovascular options available for specific clinical scenarios, along with examples of cases in which they were employed.

摘要

头部和颈部区域的创伤可能会对大脑等重要器官造成严重后果,血管损伤可能导致永久性神经损伤甚至死亡。因此,及时治疗头颈部血管至关重要。尽管证据水平中等,但越来越多的研究表明,血管内治疗可以成为传统手术或药物治疗的可行替代方案。栓塞或重建性血管内手术可以显著改善患者预后。本文概述了针对特定临床情况可用的各种血管内治疗选择,并列举了应用这些治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/e0329777c2aa/jksr-84-792-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/b2ce2d4092eb/jksr-84-792-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/3f47bd908259/jksr-84-792-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/2da9c0e24ea9/jksr-84-792-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/0324abb5e431/jksr-84-792-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/e0329777c2aa/jksr-84-792-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/b2ce2d4092eb/jksr-84-792-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/68cfd022d841/jksr-84-792-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2865/10407061/3f47bd908259/jksr-84-792-g003.jpg
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[Endovascular Treatment for Head and Neck Trauma].[头颈部创伤的血管内治疗]
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本文引用的文献

1
Direct puncture of the superior ophthalmic vein for carotid cavernous fistulas: a 21-year experience.经眼上静脉直接穿刺治疗颈动脉海绵窦瘘:21 年经验。
J Neurointerv Surg. 2023 Oct;15(10):948-952. doi: 10.1136/jnis-2022-019135. Epub 2022 Oct 19.
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Neurointerventional management of cerebrovascular trauma.脑血管创伤的神经介入治疗。
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Use of coronary stent grafts for the treatment of high-flow carotid cavernous fistula.
使用冠脉支架移植物治疗高流量颈动脉海绵窦瘘。
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Thin-Section MR Imaging for Carotid Cavernous Fistula.颈动脉海绵窦瘘的薄层磁共振成像
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Intracranial Pseudoaneurysms: Evaluation and Management.颅内假性动脉瘤:评估与管理
Front Neurol. 2020 Jul 7;11:582. doi: 10.3389/fneur.2020.00582. eCollection 2020.
7
Dangerous Extracranial-Intracranial Anastomoses: What the Interventionalist Must Know.危险的颅外-颅内吻合术:介入医生必须了解的内容。
Semin Intervent Radiol. 2020 Jun;37(2):140-149. doi: 10.1055/s-0040-1709155. Epub 2020 May 14.
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Treatment of traumatic intracranial aneurysm: Experiences at a single center.创伤性颅内动脉瘤的治疗:单中心经验。
Clin Neurol Neurosurg. 2020 Feb;189:105619. doi: 10.1016/j.clineuro.2019.105619. Epub 2019 Nov 25.
9
Antiplatelet Therapy vs Anticoagulation Therapy in Cervical Artery Dissection: The Cervical Artery Dissection in Stroke Study (CADISS) Randomized Clinical Trial Final Results.抗血小板治疗与抗凝治疗在颈动脉夹层中的应用:中风研究中的颈动脉夹层(CADISS)随机临床试验最终结果。
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Best practice guidelines for blunt cerebrovascular injury (BCVI).钝性脑血管损伤 (BCVI) 的最佳实践指南。
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