Experience of surgical treatment of vertebral artery injuries

Nikolay I. Glushkov; Vladimir F. Rylkov; Konstantin V. Sementsov; Anatoliy V. Skorodumov; Alexey A. Moiseev; Valentin V. Alekseev; Taras E. Koshelev; Anastasia O. Votinova

doi:10.17816/mechnikov202012245-50

HERALD of North-Western State Medical University named after I.I. Mechnikov ›› 2020, Vol. 12 ›› Issue (2) :45 -50. DOI: 10.17816/mechnikov202012245-50

Original study article

research-article

Experience of surgical treatment of vertebral artery injuries

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North-West State Medical University named after I.I. Mechnikov

City Hospital No. 26

First Saint Petersburg State Medical University named after Academician I.P. Pavlov

Doctor of Medicine Science, Professor, head of the Department of General surgery

surgeon St. Petersburg City Public Healthcare Institution "City Hospital No. 26"

assistant professor of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov

Assistant Professor of Hospital surgery of the Pavlov First Saint Petersburg State Medical University

Assistant of the Department of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov

assistant professor of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov

student of the medical faculty of the North-Western state medical University. I. I. Mechnikov

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Abstract

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. There’s 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 patient’s 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.

Keywords

spinal artery injuries / neck injuries / treatment experience

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Nikolay I. Glushkov, Vladimir F. Rylkov, Konstantin V. Sementsov, Anatoliy V. Skorodumov, Alexey A. Moiseev, Valentin V. Alekseev, Taras E. Koshelev, Anastasia O. Votinova. Experience of surgical treatment of vertebral artery injuries. HERALD of North-Western State Medical University named after I.I. Mechnikov, 2020, 12(2): 45-50 DOI:10.17816/mechnikov202012245-50

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