PDF(Pubmed)
Abstract：
Remnant vascular grafts may result in significant neurological deficits owing to compression of adjacent neural structures. We report this finding in two cases after extracorporeal membrane oxygenation decannulation and removal of an arteriovenous fistula in the upper extremity. In both cases, removal of the graft, patch arteriotomy, and external neurolysis resulted in significant recovery of neurological function. We review the preoperative workup, diagnostic studies, and technical approach to treatment in an effort to increase recognition among vascular and cardiovascular surgeons and to demonstrate a safe and effective management option through a multidisciplinary approach.
摘要：
残余的血管移植物可能由于邻近神经结构的压缩而导致显著的神经功能缺损。我们在体外膜氧合拔管和上肢动静脉瘘去除后的两种情况下报告了这一发现。在这两种情况下，去除移植物，补片动脉切开术,和外部神经溶解导致神经功能显着恢复。我们回顾术前检查,诊断研究,和治疗的技术方法，以提高血管和心血管外科医生的认可度，并通过多学科方法证明安全有效的管理选择。
