Open AccessExperience of surgical treatment of vertebral artery injuries
Author(s) -
Н И Глушков,
Глушков Николай Иванович,
Владимир Фёдорович Рыльков,
Рыльков Владимир Федорович,
Konstantin V. Sementsov,
Семенцов Константин Валерьевич,
А. В. Скородумов,
Скородумов Анатолий Васильевич,
А. А. Моисеев,
Моисеев Алексей Андреевич,
Valentin V. Alekseev,
Алексеев Валентин Валерьевич,
Taras E. Koshelev,
Кошелев Тарас Евгеньевич,
Anastasia O. Votinova,
Вотинова Анастасия Олеговна
Publication year - 2020
Publication title -
vestnik severo-zapadnogo gosudarstvennogo medicinskogo universiteta im. i.i. mečnikova
Language(s) - English
Resource type - Journals
eISSN - 2618-9704
pISSN - 2618-7116
DOI - 10.17816/mechnikov202012245-50
Subject(s) - medicine , vertebral artery , psychological intervention , radiology , angiography , magnetic resonance imaging , magnetic resonance angiography , surgery , nursing
The aim of the study was to analyze the results of spinal artery damage treatment of the injured.
Materials and methods. An 2-year analysis of treating 7 patients with vertebral artery injuries admitted to the City Hospital (GB) No. 26 of St. Petersburg was carried out. The problems of diagnosing and treating these injuries have been identified. The solutions to these problems have been suggested. Two clinical cases of successful treatment of injured patients with spinal artery damage have been presented.
Results. Theres a possibility of damaging vertebral arteries in neck injuries thus defining the need for introducing high-informative methods of inspection (a spiral computer tomography contrast angiography, a Magnetic Resonance Imaging) and low-invasive (X-ray endovascular) interventions in urgent surgery. The implementation of complex instrumental examinations, their nature, the number of them and urgency should be determined by a surgeon individually considering the recommendations of related specialists.
Conclusions. Regardless of the wound size and the patients condition, examination and treatment of patients with neck injuries should be carried out in large hospitals with angiosurgeon and other narrow specialists in the panel of doctors with the 24-hour surveillance, as well as access to full examination and high-tech urgent operational interventions.