Epidemiology and Management of Iatrogenic Vertebral Artery Injury Associated with Cervical Spine SurgeryEpidemiology and Management of Iatrogenic Vertebral Artery Injury Associated with Cervical Spine Surgery
- Other Titles
- Epidemiology and Management of Iatrogenic Vertebral Artery Injury Associated with Cervical Spine Surgery
- Authors
- 이호준
- Issue Date
- Apr-2022
- Publisher
- 대한신경손상학회
- Keywords
- Cervical spine; Infarction; Surgery; Vertebral artery injury
- Citation
- Korean Journal of Neurotrauma, v.18, no.1, pp 34 - 44
- Pages
- 11
- Journal Title
- Korean Journal of Neurotrauma
- Volume
- 18
- Number
- 1
- Start Page
- 34
- End Page
- 44
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20707
- DOI
- 10.13004/kjnt.2022.18.e20
- ISSN
- 2234-8999
2288-2243
- Abstract
- Iatrogenic vertebral artery injury (VAI) caused by surgical interventions involving the cervical spine is an uncommon but catastrophic complication associated with high morbidity or mortality due to ischemic stroke, intra- or extra-dural hemorrhage, and the formation of pseudoaneurysm or arteriovenous fistulae. In cervical spine surgeries, VAI may occur during the peri- or postoperative period. This may be induced by an anterior or posterior surgical approach. Despite advanced imaging techniques and increased anatomical knowledge, VAI during cervical spinal surgery remains a challenge. Techniques for managing VAI include hemostatic tamponade, ligation, microvascular repair or anastomosis, and endovascular management. We need to consider the risk of iatrogenic VAI as a complication in patients undergoing cervical spine surgeries and a better understanding of its mechanism and proper management.
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Collections - College of Medicine > Department of Neurosurgery > 1. Journal Articles
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