Meier D E, Brink B E, Fry W J
Arch Surg. 1981 Feb;116(2):236-9. doi: 10.1001/archsurg.1981.01380140082021.
Vertebral artery injury is uncommon and may be initially unrecognized. Sequelae of vertebral artery injury include arteriovenous fistulae and pseudoaneurysms that may appear months after injury. The incidence of the sequelae is unknown. Cervical angiography used in the routine evaluation of a patient with penetrating neck trauma readily demonstrates vertebral artery injuries. This series of 13 cases demonstrates the low morbidity associated with the treatment of isolated vertebral artery injuries. A technique for proximal and distal ligation of the vertebral artery is presented. Its use is recommended in the treatment of any patient with vertebral artery injury who has a normal contralateral vertebral artery and no demonstrable extracranial branches from the vertebral artery to the spinal cord.
椎动脉损伤并不常见，且最初可能未被识别。椎动脉损伤的后遗症包括动静脉瘘和假性动脉瘤，这些可能在损伤数月后出现。后遗症的发生率尚不清楚。在对颈部穿透伤患者进行常规评估时使用的颈部血管造影很容易显示椎动脉损伤。这组13例病例表明，孤立性椎动脉损伤的治疗相关发病率较低。本文介绍了一种椎动脉近端和远端结扎技术。建议在治疗任何对侧椎动脉正常且椎动脉至脊髓无可证实的颅外分支的椎动脉损伤患者时使用该技术。
