A case of vertebral artery embolization for a vertebral artery injury caused by glass fragments

HONDA Jungo, SUZUKI Takeya, SANO Hidefumi, OGAWA Naoko, MORIYA Mariko, NUMATA Jushi, OHTAKE Naruaki, TSURUKIRI Junya

doi:10.11240/jsem.26.111

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ガラス外傷による椎骨動脈損傷に対して緊急母血管塞栓術を施行した1例
ガラスガイショウニヨルツイコツドウミャクソンショウニタイシテキンキュウボケッカンソクセンジュツオシコウシタ 1レイ

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Abstract

<p>An 80-year-old woman was admitted to our emergency department with hemorrhagic shock caused by a neck-penetrating glass injury after falling. Her family had removed the glass following the injury. On admission, the patient had hemorrhagic instability with active bleeding from the left neck and continuous finger compression was effective for temporal hemostasis. The surgical approach to Zone III neck injury was challenging, thereafter we decide to perform cerebral angiography. Left vertebral artery (VA) angiography showed active bleeding from the left main trunk of the V3 segment of VA. After undergoing endovascular parent artery embolization, the patient's hemostasis was accomplished. The formation of the V3 segment of VA injury caused by stab wounds is a rare vascular anomaly. Endovascular treatment could be considered if there is difficulty in detecting the source of bleeding in the injured regions that are challenging to operatively access. We concluded that endovascular treatment should be considered first in cases of injury to the V2 or V3 segment of VA. </p>

Journal

Journal of Japanese Society for Emergency Medicine

Journal of Japanese Society for Emergency Medicine 26 (2), 111-117, 2023-04-30

Japanese Society for Emergency Medicine

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A case of vertebral artery embolization for a vertebral artery injury caused by glass fragments