Multimodality Management of Vertebral Artery Injury Sustained During Cervical or Craniocervical Surgery
| Autor: | Nikolay L. Martirosyan, Nicholas Theodore, Mark P. Garrett, Raza Mushtaq, Felipe C. Albuquerque, Ali M. Elhadi, Peter H. Maughan, Andrew F. Ducruet |
|---|---|
| Rok vydání: | 2013 |
| Předmět: |
Adult
Male medicine.medical_specialty Tomography Scanners X-Ray Computed Databases Factual Vertebral artery medicine.medical_treatment Young Adult Pseudoaneurysm Postoperative Complications medicine.artery medicine Humans Orthopedic Procedures Vertebral Artery Aged Retrospective Studies medicine.diagnostic_test business.industry Middle Aged Microsurgery medicine.disease Combined Modality Therapy Cerebral Angiography Surgery Cerebrovascular Disorders medicine.anatomical_structure Child Preschool Angiography Cervical Vertebrae Female Occipital nerve stimulation Neurology (clinical) Radiology Complication business Cervical vertebrae Cerebral angiography |
| Zdroj: | Operative Neurosurgery. 73:ons271-ons282 |
| ISSN: | 2332-4252 |
| DOI: | 10.1227/01.neu.0000431468.74591.5f |
| Popis: | BACKGROUND: Iatrogenic vertebral artery (VA) injury is a rare but potentially devastating complication associated with cervical and craniocervical surgery. OBJECTIVE: To retrospectively evaluate treatment modalities and outcomes associated with iatrogenic VA injury. METHODS: Our institutional surgical database was queried for patients who underwent cervical or craniocervical surgery from January 1997 to August 2012. RESULTS: During this time period, 8213 patients underwent cervical or craniocervical surgery, and 17 (0.2%) cases of VA injury were identified. Eight (47%) of these injuries occurred during C1-2 instrumentation procedures. Primary microsurgical repair of the VA was performed in 5 patients. Other cases were managed by either surgical or endovascular VA occlusion. Of the 17 patients, 15 underwent immediate angiography, 9 of whom were ultimately treated by the use of endovascular techniques. CONCLUSION: VA injury is an uncommon complication of cervical and/or skull base surgery. Standardized management recommendations may help reduce complications associated with these rare but potentially devastating injuries. |
| Databáze: | OpenAIRE |
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