Nakai K, Ishihara S, Nawashiro H, Umezawa H, Takiguchi H, Shima K, Chigasaki H, Kaji T, Kusano S
Department of Neurosurgery, National Defense Medical College.
No Shinkei Geka. 1995 Nov;23(11):1027-30.
Penetrating injury to the vertebral artery is a very rare accident and no case except ours has been reported to date in Japan. We reported a case of successful treatment of a penetrating injury by a nail to the left vertebral artery with the use of interventional radiologic procedure. A 27-year-old man was admitted to our hospital with a complaint of penetrating injury in his neck. Left vertebral angiography revealed that a nail had penetrated into the vertebral artery at the C6 level. Considering the possibility of thrombus formation around the metallic foreign body and the risk of uncontrollable bleeding, we performed embolization of the injured vertebral artery with Interlocking Detachable Coil.
椎动脉穿透伤是一种非常罕见的意外事件，迄今为止，除了我们的病例外，日本尚未有相关病例报道。我们报告了一例通过介入放射学方法成功治疗钉子穿透伤致左椎动脉损伤的病例。一名27岁男性因颈部穿透伤入院。左椎动脉血管造影显示一枚钉子在C6水平穿透了椎动脉。考虑到金属异物周围形成血栓的可能性以及不可控制出血的风险，我们使用可脱卸弹簧圈对受伤的椎动脉进行了栓塞治疗。
