颈内静脉置管导致椎动脉损伤2例（英文）

Vertebral artery injury caused by internal jugular vein catheterization: two case reports

椎动脉损伤是中心静脉穿刺置管过程中罕见的严重并发症,本文报道两例穿刺失误导致的椎动脉损伤病例,血管造影及CT检查提示椎动脉损伤,最终都通过手术探查得以证实。两名患者破损的椎动脉均通过手术成功修补,未见神经系统后遗症。准确掌握椎动脉解剖,熟练的操作技巧及谨慎操作有助于降低椎动脉损伤发生率;对于误置入导管或血管严重受损病例,最好及时通过手术予以治疗。

Vertebral artery （ VA ） injury （ VAI ） is a very rare, but quite devastating iatrogenic complication resulting from internal jugular vein （IJV） catheterization （IJVC）, which is often ignored until patients have presented with delayed symptoms. If properly managed, the complications can reduce mortality and morbidity. We reported two cases of VAI associated with IJV cannulation with the intent of demonstrating that better understanding the mechanisms of the injury would suhstantially reduce its incidence.