上肢血管移植残余物修补术后神经功能的改善

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-05-21 DOI:10.1016/j.jvscit.2024.101539

Marie Bigot BS , Sima Vazquez MS , Sateesh Babu MD , Suguru Ohira MD , Ramin Malekan MD , Igor Laskowski MD , Jared Pisapia MD, MSTR

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引用次数: 0

摘要

残留的血管移植物可能因压迫邻近的神经结构而导致严重的神经功能缺损。我们报告了两例上肢动静脉瘘体外膜氧合解除封管和切除后的发现。在这两个病例中，移除移植物、补片动脉切开术和外部神经溶解术均使神经功能显著恢复。我们回顾了术前准备、诊断研究和治疗技术方法，旨在提高血管和心血管外科医生的认识，并通过多学科方法展示一种安全有效的治疗方案。

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Neurological improvement following revision of vascular graft remnants in the upper extremity

Remnant vascular grafts may result in significant neurological deficits owing to compression of adjacent neural structures. We report this finding in two cases after extracorporeal membrane oxygenation decannulation and removal of an arteriovenous fistula in the upper extremity. In both cases, removal of the graft, patch arteriotomy, and external neurolysis resulted in significant recovery of neurological function. We review the preoperative workup, diagnostic studies, and technical approach to treatment in an effort to increase recognition among vascular and cardiovascular surgeons and to demonstrate a safe and effective management option through a multidisciplinary approach.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.