通过颈总动脉切开术去除困在新生儿大脑中动脉中的微导管。

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-02-01 DOI:10.1016/j.jvscit.2024.101683

Andreea Slavescu MBBS , Fernando Picazo Pineda MD, FEBVS (Hons), FRACS (Vascular) , Joseph Hockley MD, FRACS (Vascular)

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引用次数: 0

摘要

一个2天大的新生儿，由于担心在大脑中动脉植入微导管后肢体灌注，被转介到血管外科服务。导管经脐动脉插入治疗一例Galen动静脉畸形。由于装置故障，该导管不慎被夹住，在插入部位被切断，并留在原位3个月。在这个阶段，我们决定通过右颈总动脉切开术去除导管的远端部分。该干预直接、有效、安全，患者6个月无并发症发生。

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Removal of microcatheter entrapped in the middle cerebral artery in a neonate via common carotid arteriotomy

A 2-day-old neonate was referred to the vascular surgery service owing to concerns of limb perfusion after entrapment of a microcatheter in the middle cerebral artery. The catheter was inserted via the umbilical artery to treat a vein of Galen arteriovenous malformation. This catheter inadvertently became entrapped owing to device failure, was cut at the insertion site, and left in situ for 3 months. At this stage, the decision was made to remove the distal portion of the catheter via right common carotid arteriotomy. This intervention was straightforward, effective and safe, and the patient had no complications at 6 months.

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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.