대한영상의학회지 (Journal of the Korean Society of Radiology)

  • 제84권4호
  • /
  • Pages.792-808
  • /
  • 2023
  • /
  • 1738-2637(pISSN)
  • /
  • 2288-2928(eISSN)
대한영상의학회 (The Korean Society of Radiology)
권호 표지
DOI QR코드

DOI QR Code

두경부 외상의 인터벤션

Endovascular Treatment for Head and Neck Trauma

  • 한재원 (부산대학교병원 영상의학과) ;
  • 이재일 (부산대학교병원 신경외과) ;
  • 황보리 (부산대학교병원 영상의학과)
  • Jae Won Han (Department of Radiology, Pusan National University Hospital) ;
  • Jae Il Lee (Department of Neurosurgery, Pusan National University Hospital) ;
  • Lee Hwangbo (Department of Radiology, Pusan National University Hospital)
  • 투고 : 2023.04.02
  • 심사 : 2023.07.08
  • 발행 : 2023.07.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

두경부 외상은 뇌를 포함한 중요 장기들의 손상을 동반하며 특히 혈관 손상의 경우 영구적 장애를 야기하거나 사망에 이르게 할 수 있어서 적시에 치료가 진행되어야 한다. 혈관내 인터벤션 치료에 대한 문헌적 근거 수준은 높지 않으나 기술의 발전에 힘입어서 혈관 손상의 치료에 대한 좋은 대안이 되고 있다. 고전적인 손상 혈관에 대한 색전술을 통한 치료 이외에도 개선된 혈관내 기구들을 통해 재건적 혈관 치료가 가능해지고 있어서 적절하게 시행될 경우 외상 환자의 예후 개선에 기여할 수 있다. 혈관 손상 치료의 방법은 외상 기전에 따라 상이하며 특정 임상적 상황에서 시술 방법이 달라질 수 있다. 이를 고려한 혈관내 인터벤션을 증례 중심으로 고찰해 보고자 한다.

Trauma to the head and neck region can have serious consequences for vital organs such as the brain, and injuries to blood vessels can cause permanent neurological damage or even death. Thus, prompt treatment of head and neck vessels is crucial. Although the level of evidence is moderate, an increasing amount of research indicates that endovascular treatments can be a viable alternative to traditional surgery or medical management. Embolization or reconstructive endovascular procedures can significantly improve patient outcomes. This article provides an overview of various endovascular options available for specific clinical scenarios, along with examples of cases in which they were employed.

키워드

참고문헌

  1. Dewan MC, Rattani A, Gupta S, Baticulon RE, Hung YC, Punchak M, et al. Estimating the global incidence of traumatic brain injury. J Neurosurg 2019;130:1080-1097 
  2. Song SY, Lee SK, Eom KS; KNTDB Investigators. Analysis of mortality and epidemiology in 2617 cases of traumatic brain injury : Korean Neuro-Trauma Data Bank System 2010-2014. J Korean Neurosurg Soc 2016;59:485-491 
  3. Manley GT, Hutchinson PJ, Maas AIR, Rosenthal G, Huang MC, Adams H, et al. Trauma overview and controversies. In: Manley GT, Hutchinson PJ, Maas AIR, Rosenthal G, eds. Youmans & Winn neurological surgery. 7th ed. Philadelphia, PA: Elsevier 2017:2743-2747 
  4. Bragge P, Synnot A, Maas AI, Menon DK, Cooper DJ, Rosenfeld JV, et al. A state-of-the-science overview of randomized controlled trials evaluating acute management of moderate-to-severe traumatic brain injury. J Neurotrauma 2016;33:1461-1478 
  5. Halbach VV, Higashida RT, Dowd CF, Fraser KW, Smith TP, Teitelbaum GP, et al. Endovascular treatment of vertebral artery dissections and pseudoaneurysms. J Neurosurg 1993;79:183-191 
  6. Robinson AE, McAuliffe W, Phillips TJ, Phatouros CC, Singh TP. Embolization for the treatment of intractable epistaxis: 12 month outcomes in a two centre case series. Br J Radiol 2017;90:20170472 
  7. Sokoloff J, Wickbom I, McDonald D, Brahme F, Goergen TC, Goldberger LE. Therapeutic percutaneous embolization in intractable epistaxis. Radiology 1974;111:285-287 
  8. Ventureyra EC, Higgins MJ. Traumatic intracranial aneurysms in childhood and adolescence. Case reports and review of the literature. Childs Nerv Syst 1994;10:361-379 
  9. Strach K, Schrock A, Wilhelm K, Greschus S, Tschampa H, Mohlenbruch M, et al. Endovascular treatment of epistaxis: indications, management, and outcome. Cardiovasc Intervent Radiol 2011;34:1190-1198 
  10. Moron FE, Klucznik RP, Mawad ME, Strother CM. Endovascular treatment of high-flow carotid cavernous fistulas by stent-assisted coil placement. AJNR Am J Neuroradiol 2005;26:1399-1404 
  11. Choi BJ, Lee TH, Kim CW, Choi CH. Endovascular graft-stent placement for treatment of traumatic carotid cavernous fistulas. J Korean Neurosurg Soc 2009;46:572-576 
  12. Sokoloff J, Wickbom I, McDonald D, Brahme F, Goergen TC, Goldberger LE. Therapeutic percutaneous embolization in intractable epistaxis. Radiology 1974;111:285-287 
  13. Duke BJ, Ryu RK, Coldwell DM, Brega KE. Treatment of blunt injury to the carotid artery by using endovascular stents: an early experience. J Neurosurg 1997;87:825-829 
  14. Black JA, Abraham PJ, Abraham MN, Cox DB, Griffin RL, Holcomb JB, et al. Universal screening for blunt cerebrovascular injury. J Trauma Acute Care Surg 2021;90:224-231 
  15. Rodallec MH, Marteau V, Gerber S, Desmottes L, Zins M. Craniocervical arterial dissection: spectrum of imaging findings and differential diagnosis. Radiographics 2008;28:1711-1728 
  16. Burlew CC, Biffl WL, Moore EE, Barnett CC, Johnson JL, Bensard DD. Blunt cerebrovascular injuries: redefining screening criteria in the era of noninvasive diagnosis. J Trauma Acute Care Surg 2012;72:330-337 
  17. Biffl WL, Moore EE, Offner PJ, Brega KE, Franciose RJ, Elliott JP, et al. Optimizing screening for blunt cerebrovascular injuries. Am J Surg 1999;178:517-521 
  18. Biffl WL, Ray CE Jr, Moore EE, Franciose RJ, Aly S, Heyrosa MG, et al. Treatment-related outcomes from blunt cerebrovascular injuries: importance of routine follow-up arteriography. Ann Surg 2002;235:699-706; discussion 706-707 
  19. Biffl WL, Moore EE, Ryu RK, Offner PJ, Novak Z, Coldwell DM, et al. The unrecognized epidemic of blunt carotid arterial injuries: early diagnosis improves neurologic outcome. Ann Surg 1998;228:462-470 
  20. Brommeland T, Helseth E, Aarhus M, Moen KG, Dyrskog S, Bergholt B, et al. Best practice guidelines for blunt cerebrovascular injury (BCVI). Scand J Trauma Resusc Emerg Med 2018;26:90 
  21. Markus HS, Levi C, King A, Madigan J, Norris J; Cervical Artery Dissection in Stroke Study (CADISS) Investigators. Antiplatelet therapy vs anticoagulation therapy in cervical artery dissection: the cervical artery dissection in stroke study (CADISS) randomized clinical trial final results. JAMA Neurol 2019;76:657-664 
  22. Muller BT, Luther B, Hort W, Neumann-Haefelin T, Aulich A, Sandmann W. Surgical treatment of 50 carotid dissections: indications and results. J Vasc Surg 2000;31:980-988 
  23. Xianjun H, Zhiming Z. A systematic review of endovascular management of internal carotid artery dissections. Interv Neurol 2013;1:164-170 
  24. Rutman AM, Vranic JE, Mossa-Basha M. Imaging and management of blunt cerebrovascular injury. Radiographics 2018;38:542-563 
  25. Nagpal P, Policeni BA, Bathla G, Khandelwal A, Derdeyn C, Skeete D. Blunt cerebrovascular injuries: advances in screening, imaging, and management trends. AJNR Am J Neuroradiol 2018;39:406-414 
  26. Larson PS, Reisner A, Morassutti DJ, Abdulhadi B, Harpring JE. Traumatic intracranial aneurysms. Neurosurg Focus 2000;8:e4 
  27. Miley JT, Rodriguez GJ, Qureshi AI. Traumatic intracranial aneurysm formation following closed head injury. J Vasc Interv Neurol 2008;1:79-82 
  28. Zheng Y, Lu Z, Shen J, Xu F. Intracranial pseudoaneurysms: evaluation and management. Front Neurol 2020;11:582 
  29. Ding H, You C, Yin H. Nontraumatic and noninfectious pseudoaneurysms on the circle of Willis: 2 case reports and review of the literature. Surg Neurol 2008;69:414-417 
  30. Amenta PS, Starke RM, Jabbour PM, Tjoumakaris SI, Gonzalez LF, Rosenwasser RH, et al. Successful treatment of a traumatic carotid pseudoaneurysm with the pipeline stent: case report and review of the literature. Surg Neurol Int 2012;3:160 
  31. Buckingham MJ, Crone KR, Ball WS, Tomsick TA, Berger TS, Tew JM Jr. Traumatic intracranial aneurysms in childhood: two cases and a review of the literature. Neurosurgery 1988;22:398-408 
  32. Benoit BG, Wortzman G. Traumatic cerebral aneurysms. Clinical features and natural history. J Neurol Neurosurg Psychiatry 1973;36:127-138 
  33. Parkinson D, West M. Traumatic intracranial aneurysms. J Neurosurg 1980;52:11-20 
  34. Fleischer AS, Patton JM, Tindall GT. Cerebral aneurysms of traumatic origin. Surg Neurol 1975;4:233-239 
  35. Cohen JE, Gomori JM, Segal R, Spivak A, Margolin E, Sviri G, et al. Results of endovascular treatment of traumatic intracranial aneurysms. Neurosurgery 2008;63:476-486 
  36. Niu Y, Zhou S, Tang J, Miao H, Zhu G, Chen Z. Treatment of traumatic intracranial aneurysm: experiences at a single center. Clin Neurol Neurosurg 2020;189:105619 
  37. Monson DO, Saletta JD, Freeark RJ. Carotid vertebral trauma. J Trauma 1969;9:987-999 
  38. Sperry JL, Moore EE, Coimbra R, Croce M, Davis JW, Karmy-Jones R, et al. Western Trauma Association critical decisions in trauma: penetrating neck trauma. J Trauma Acute Care Surg 2013;75:936-940 
  39. Shiroff AM, Gale SC, Martin ND, Marchalik D, Petrov D, Ahmed HM, et al. Penetrating neck trauma: a review of management strategies and discussion of the 'no zone' approach. Am Surg 2013;79:23-29 
  40. Nowicki JL, Stew B, Ooi E. Penetrating neck injuries: a guide to evaluation and management. Ann R Coll Surg Engl 2018;100:6-11 
  41. Ibraheem K, Khan M, Rhee P, Azim A, O'Keeffe T, Tang A, et al. "No zone" approach in penetrating neck trauma reduces unnecessary computed tomography angiography and negative explorations. J Surg Res 2018;221:113-120 
  42. Offiah C, Hall E. Imaging assessment of penetrating injury of the neck and face. Insights Imaging 2012;3:419-431 
  43. Steenburg SD, Sliker CW, Shanmuganathan K, Siegel EL. Imaging evaluation of penetrating neck injuries. Radiographics 2010;30:869-886 
  44. Yamanaka K, Yamamoto A, Ishida K, Matsuzaki J, Ozaki T, Ishihara M, et al. Successful endovascular therapy of a penetrating zone III jugular bulb injury. A case report. Interv Neuroradiol 2012;18:195-199 
  45. Maras D, Lioupis C, Magoufis G, Tsamopoulos N, Moulakakis K, Andrikopoulos V. Covered stent-graft treatment of traumatic internal carotid artery pseudoaneurysms: a review. Cardiovasc Intervent Radiol 2006;29:958-968 
  46. Kim Y, Choi CH, Lee TH, Cho HJ, Sung SM, Baik SK, et al. Endovascular stenting for symptomatic carotid dissection with hemodynamic insufficiency. World Neurosurg 2017;102:598-607 
  47. Lucas O, Naseem H, Davies JM, Reynold R, Bass KD. Endovascular treatment of a carotid artery pseudoaneurysm due to penetrating trauma in a pediatric patient. J Pediatr Surg Case Rep 2017;19:19-21 
  48. Lauzier DC, Chatterjee AR, Kansagra AP. Neurointerventional management of cerebrovascular trauma. J Neurointerv Surg 2022;14:718-722 
  49. Zhang Cw, Xie Xd, You C, Mao By, Wang Ch, He M, et al. Endovascular treatment of traumatic pseudoaneurysm presenting as intractable epistaxis. Korean J Radiol 2010;11:603-611 
  50. Geibprasert S, Pongpech S, Armstrong D, Krings T. Dangerous extracranial-intracranial anastomoses and supply to the cranial nerves: vessels the neurointerventionalist needs to know. AJNR Am J Neuroradiol 2009;30:1459-1468 
  51. Rinaldo L, Brinjikji W. Dangerous extracranial-intracranial anastomoses: what the interventionalist must know. Semin Intervent Radiol 2020;37:140-149 
  52. Willems PW, Farb RI, Agid R. Endovascular treatment of epistaxis. AJNR Am J Neuroradiol 2009;30:1637-1645 
  53. Miller PR, Fabian TC, Croce MA, Cagiannos C, Williams JS, Vang M, et al. Prospective screening for blunt cerebrovascular injuries: analysis of diagnostic modalities and outcomes. Ann Surg 2002;236:386-395 
  54. Barrow DL, Spector RH, Braun IF, Landman JA, Tindall SC, Tindall GT. Classification and treatment of spontaneous carotid-cavernous sinus fistulas. J Neurosurg 1985;62:248-256 
  55. Gemmete JJ, Chaudhary N, Pandey A, Ansari S. Treatment of carotid cavernous fistulas. Curr Treat Options Neurol 2010;12:43-53 
  56. Ikawa F, Uozumi T, Kiya K, Kurisu K, Arita K, Sumida M. Diagnosis of carotid-cavernous fistulas with magnetic resonance angiography--demonstrating the draining veins utilizing 3-D time-of-flight and 3-D phase-contrast techniques. Neurosurg Rev 1996;19:7-12 
  57. Kim D, Choi YJ, Song Y, Chung SR, Baek JH, Lee JH. Thin-section MR imaging for carotid cavernous fistula. AJNR Am J Neuroradiol 2020;41:1599-1605 
  58. Phan K, Xu J, Leung V, Teng I, Sheik-Ali S, Maharaj M, et al. Orbital approaches for treatment of carotid cavernous fistulas: a systematic review. World Neurosurg 2016;96:243-251 
  59. Uflacker R, Lima S, Ribas GC, Piske RL. Carotid-cavernous fistulas: embolization through the superior ophthalmic vein approach. Radiology 1986;159:175-179 
  60. Catapano JS, Srinivasan VM, De La Pena NM, Singh R, Cole TS, Wilkinson DA, et al. Direct puncture of the superior ophthalmic vein for carotid cavernous fistulas: a 21-year experience. J Neurointerv Surg 2022 Oct 19 [Epub]. https://doi.org/10.1136/jnis-2022-019135 
  61. Tiewei Q, Ali A, Shaolei G, Feng L, Zhongsong S, Xuesong L, et al. Carotid cavernous fistulas treated by endovascular covered stent grafts with follow-up results. Br J Neurosurg 2010;24:435-440 
  62. Gomez F, Escobar W, Gomez AM, Gomez JF, Anaya CA. Treatment of carotid cavernous fistulas using covered stents: midterm results in seven patients. AJNR Am J Neuroradiol 2007;28:1762-1768 
  63. Petrov I, Stankov Z, Boychev D, Klissurski M. Use of coronary stent grafts for the treatment of high-flow carotid cavernous fistula. BMJ Case Rep 2021;14:e245922 
  64. Tytle TL, Punukollu PK. Carotid cavernous fistula. Semin Cerebrovasc Dis Stroke 2001;1:83-111