Treatment strategy for a penetrating stab wound to the vertebral artery: a case report
| Autor: | Kousuke Kamata, Shinya Kakehata, Hitoshi Yamamura, Shinya Yaguchi, Atsushi Matsubara, Norihito Shimamura |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
root injury Vertebral artery transcatheter arterial embolization Case Report Case Reports 03 medical and health sciences 0302 clinical medicine medicine.artery medicine Stab wound Computed tomography angiography medicine.diagnostic_test business.industry Arterial Embolization General Engineering vertebral artery injury Interventional radiology Emergency department medicine.disease penetrating stab injury Surgery Brachial plexus injury 030220 oncology & carcinogenesis Angiography business 030217 neurology & neurosurgery |
| Zdroj: | Acute Medicine & Surgery |
| ISSN: | 2052-8817 |
| Popis: | Case Vertebral artery injury is a low-frequency but high-mortality injury. The surgical approach to a bleeding vertebral artery injury is one of the most difficult procedures in trauma surgery.A 64-year-old woman was transported to our emergency department after being stabbed in the middle side of the right neck with a large kitchen knife. Her initial hospital examination indicated a shock state, and computed tomography images revealed a right vertebral artery injury. We undertook angiography and transcatheter arterial embolization before the surgical operation. Outcome The patient suffered right upper extremity paralysis due to brachial plexus injury and was transferred to another hospital for rehabilitation on the 24th hospital day. Conclusion Computed tomography angiography for diagnosis and interventional radiology treatment are useful for the management of penetrating neck trauma. Transcatheter arterial embolization for vertebral artery injury is safe and allows for easy control of bleeding compared to a surgical procedure. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Plný text