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血管畸形的单次术前栓塞及手术切除:病例系列

Single-session Preoperative Embolization and Surgical Resection of Vascular Anomalies: A Case Series.

作者信息

Rajagopalan Aravind, Shah Nikhil, Reddy Narainsai K, Aronson Sofia, Yamada Akira, Rajeswaran Shankar

机构信息

From the Rutgers Robert Wood Johnson Medical School, Piscataway, N.J.

Division of Plastic Surgery, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Ill.

出版信息

Plast Reconstr Surg Glob Open. 2024 Nov 18;12(11):e6302. doi: 10.1097/GOX.0000000000006302. eCollection 2024 Nov.

Abstract

Vascular anomalies encompass 2 broad classifications including vascular tumors and vascular malformations. The management of vascular anomalies is best approached by a multidisciplinary team. Surgical treatment can offer definitive treatment, but carries several risks such as intraoperative hemorrhage, recurrence, and collateral vascular formations from incomplete resections. Here, we present a case report of 3 patients with different vascular anomalies who were all treated by a multidisciplinary team including interventional radiology and plastic surgery. All underwent preoperative embolization before surgical excision, accomplished under a single anesthetic. Here, we discuss the surgical planning and overall approach to patients presenting with localized vascular anomalies and support the use of preoperative embolization with surgical excision under a single anesthetic as a treatment approach.

摘要

血管异常包括两大类,即血管肿瘤和血管畸形。血管异常的治疗最好由多学科团队进行。手术治疗可以提供确定性治疗,但存在一些风险,如术中出血、复发以及不完全切除导致的侧支血管形成。在此,我们报告3例不同血管异常患者的病例,他们均由包括介入放射学和整形外科的多学科团队进行治疗。所有患者在手术切除前均接受了术前栓塞,且在单次麻醉下完成。在此,我们讨论了针对局部血管异常患者的手术规划和总体治疗方法,并支持将术前栓塞与单次麻醉下的手术切除作为一种治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/4a723e224677/gox-12-e6302-g001.jpg

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