Kiev J, Dupont J R, Kerstein M D
University of Texas Southwestern Medical School, Dallas, USA.
Ann Vasc Surg. 1996 Jan;10(1):63-5. doi: 10.1007/BF02002344.
Vascular injury sustained during neurosurgical procedures is surprisingly rare, especially considering the anatomic proximity of major blood vessels to the vertebral column. Mortality rates are high if the injury is not recognized and definitive management is delayed. Case reports include massive hemorrhage, arteriovenous fistulas, and development of false aneurysms. Diagnostic CT scan and arteriography are useful if the patient's condition permits; however, rapid intervention is crucial to the patient's survival. After reviewing the current surgical literature, we present a case of medial sacral artery injury occurring during laminectomy.
神经外科手术期间发生的血管损伤出奇地罕见，尤其是考虑到主要血管与脊柱在解剖位置上的接近程度。如果损伤未被识别且确定性治疗延迟，死亡率会很高。病例报告包括大量出血、动静脉瘘和假性动脉瘤的形成。如果患者情况允许，诊断性CT扫描和血管造影是有用的；然而，快速干预对患者的生存至关重要。在回顾了当前的外科文献后，我们呈现了一例在椎板切除术中发生的骶中动脉损伤病例。
