METHODS: A 69-year-old man presented with a penetrating SCA injury from a steel bar, and a 38-year-old woman presented with a blunt SCA injury caused by a fall. Both patients were hemodynamically unstable upon presentation.
METHODS: Both patients were diagnosed with SCA injuries. The man had a penetrating injury, while the woman had a blunt injury, both resulting in hemodynamic instability and significant risk of hypovolemic shock.
METHODS: Endovascular techniques, including the use of covered stent grafts, were employed to manage the injuries. These techniques allowed for rapid and efficient treatment, reducing the need for open surgical intervention.
RESULTS: Both patients were successfully treated using endovascular methods and were discharged without any complications. The endovascular approach minimized blood loss, transfusion needs, and hospital stay.
CONCLUSIONS: This study demonstrates the effectiveness of endovascular techniques in rapidly diagnosing, bridging, and definitively treating SCA injuries, suggesting their use as a first-line therapy.
方法:一名69岁的男子因钢筋造成穿透性SCA损伤,一名38岁的妇女因跌倒而受伤。两名患者在就诊时血流动力学不稳定。
方法:两名患者均被诊断为SCA损伤。这个人有穿透性伤,当那个女人受伤时,两者均导致血流动力学不稳定和低血容量性休克的显著风险。
方法:血管内技术,包括使用覆膜支架移植物,被雇用来管理伤害。这些技术可以快速有效地治疗,减少开放手术干预的需要。
结果:两例患者均采用血管内方法成功治疗,均出院,无任何并发症。血管内方法减少了失血,输血需要,住院。
结论:这项研究证明了血管内技术在快速诊断,桥接,明确治疗SCA损伤,建议将其用作一线治疗。