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Post a Comment Experience of surgical treatment of vertebral artery injuries
- Authors: Glushkov N.I.1, Rylkov V.F.2, Sementsov K.V.1, Skorodumov A.V.1, Moiseev A.A.3, Alekseev V.V.1, Koshelev T.E.1, Votinova A.O.1
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Affiliations:
- 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
- Issue: Vol 12, No 2 (2020)
- Pages: 45-50
- Section: Original research
- URL: https://ogarev-online.ru/vszgmu/article/view/33761
- DOI: https://doi.org/10.17816/mechnikov202012245-50
- ID: 33761
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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.
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##article.viewOnOriginalSite##About the authors
Nikolay I. Glushkov
North-West State Medical University named after I.I. Mechnikov
Author for correspondence.
Email: nikolay.glushkov@szgmu.ru
ORCID iD: 0000-0001-8146-4728
Doctor of Medicine Science, Professor, head of the Department of General surgery
Russian Federation, Saint-PetersburgVladimir F. Rylkov
City Hospital No. 26
Email: v_rylkov@mail.ru
surgeon St. Petersburg City Public Healthcare Institution "City Hospital No. 26"
Russian Federation, Saint-PetersburgKonstantin V. Sementsov
North-West State Medical University named after I.I. Mechnikov
Email: konstantinsementsov@gmail.ru
assistant professor of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov
Russian Federation, Saint-PetersburgAnatoliy V. Skorodumov
North-West State Medical University named after I.I. Mechnikov
Email: askorodum@mail.ru
assistant professor of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov
Russian Federation, Saint-PetersburgAlexey A. Moiseev
First Saint Petersburg State Medical University named after Academician I.P. Pavlov
Email: moiseev85@mail.ru
Assistant Professor of Hospital surgery of the Pavlov First Saint Petersburg State Medical University
Russian Federation, Saint-PetersburgValentin V. Alekseev
North-West State Medical University named after I.I. Mechnikov
Email: valentindocvma@mail.ru
Assistant of the Department of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov
Russian Federation, Saint-PetersburgTaras E. Koshelev
North-West State Medical University named after I.I. Mechnikov
Email: kte@yandex.ru
assistant professor of the Department of General surgery of the North-Western state medical University. I. I. Mechnikov
Russian Federation, Saint-PetersburgAnastasia O. Votinova
North-West State Medical University named after I.I. Mechnikov
Email: votinova.anastasya@gmail.com
student of the medical faculty of the North-Western state medical University. I. I. Mechnikov
Russian Federation, Saint-PetersburgReferences
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