대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제84권2호
  • /
  • Pages.483-488
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  • 2023
  • /
  • 1738-2637(pISSN)
  • /
  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
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의인성 척추동맥 가성동맥류에 대한 중재적 치료: 증례 보고

Endovascular Management of Iatrogenic Vertebral Artery Pseudoaneurysm: A Case Report

  • 박재양 (동아대학교 의과대학 영상의학교실) ;
  • 김상현 (동아대학교 의과대학 영상의학교실) ;
  • 강명진 (동아대학교 의과대학 영상의학교실)
  • Jae Yang Park (Department of Radiology, Dong-A University College of Medicine) ;
  • Sanghyeon Kim (Department of Radiology, Dong-A University College of Medicine) ;
  • Myongjin Kang (Department of Radiology, Dong-A University College of Medicine)
  • 투고 : 2022.07.26
  • 심사 : 2022.08.18
  • 발행 : 2023.03.01
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초록

경추 수술 중 발생한 척추 동맥 손상은 드물지만 중요하다. 중재적 혈관내 치료 기술의 발전으로 척추 동맥 손상에 대한 치료 접근 방식이 바뀌었지만 확립된 치료 방침은 아직 없다. 우리는 트리플 스텐트 시술 실패 후 플러그 앤 패치 방식으로 혈관내 코일 시술을 하여 척추 동맥 손상으로 인한 가동맥류를 성공적으로 치료한 사례를 보고하고자 한다.

Iatrogenic injury of the vertebral artery during cervical spine surgery though uncommon is critical. With advances in interventional endovascular techniques, the therapeutic approach for vertebral artery injuries has changed. Nonetheless, an established strategy for their management is lacking. We report a case of pseudoaneurysm due to vertebral artery injury, during cervical spine surgery for a tumor, that was treated successfully with endovascular coiling in a plug-and-patch fashion after triple stenting failed.

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참고문헌

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