Bigot Marie, Vazquez Sima, Babu Sateesh, Ohira Suguru, Malekan Ramin, Laskowski Igor, Pisapia Jared
School of Medicine, New York Medical College, Valhalla, NY.
Department of Surgery, Division of Vascular Surgery, Westchester Medical Center, Valhalla, NY.
J Vasc Surg Cases Innov Tech. 2024 May 21;10(4):101539. doi: 10.1016/j.jvscit.2024.101539. eCollection 2024 Aug.
Remnant vascular grafts may result in significant neurological deficits owing to compression of adjacent neural structures. We report this finding in two cases after extracorporeal membrane oxygenation decannulation and removal of an arteriovenous fistula in the upper extremity. In both cases, removal of the graft, patch arteriotomy, and external neurolysis resulted in significant recovery of neurological function. We review the preoperative workup, diagnostic studies, and technical approach to treatment in an effort to increase recognition among vascular and cardiovascular surgeons and to demonstrate a safe and effective management option through a multidisciplinary approach.
残余血管移植物可能由于压迫相邻神经结构而导致严重的神经功能缺损。我们报告了两例在体外膜肺氧合脱管及上肢动静脉瘘切除术后出现这一情况的病例。在这两例病例中，移除移植物、补片动脉切开术及外部神经松解术均使神经功能得到显著恢复。我们回顾了术前检查、诊断性研究及治疗技术方法，旨在提高血管和心血管外科医生对此的认识，并通过多学科方法展示一种安全有效的管理方案。
