Traumatic Pseudoaneurysm of the Ascending Cervical Artery Treated with N-butyl Cyanoacrylate Embolization: A Case Report and Review of the Literature

Karsonovich, Torin; Hawkins, John C.; Gordhan, Ajeet

doi:10.7759/cureus.6276

Cited by 3 publications

(4 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The incorporation of elements like the ligamentum flavum using cardboard and the interspinous ligaments with string, although simplistic, effectively demonstrates the potential of low-cost materials in high-fidelity medical simulations. This approach not only aids in the understanding of complex spinal anatomy but also provides a safe, repeatable environment for skill enhancement [ 23 , 24 , 25 ].…”

Section: Discussionmentioning

confidence: 99%

Low-Cost 3D Models for Cervical Spine Tumor Removal Training for Neurosurgery Residents

Sufianov,

Ovalle,

Cruz

et al. 2024

Brain Sciences

View full text Add to dashboard Cite

Background and Objectives: Spinal surgery, particularly for cervical pathologies such as myelopathy and radiculopathy, requires a blend of theoretical knowledge and practical skill. The complexity of these conditions, often necessitating surgical intervention, underscores the need for intricate understanding and precision in execution. Advancements in neurosurgical training, especially with the use of low-cost 3D models for simulating cervical spine tumor removal, are revolutionizing this field. These models provide the realistic and hands-on experience crucial for mastering complex neurosurgical techniques, filling gaps left by traditional educational methods. Materials and Methods: This study aimed to assess the effectiveness of 3D-printed cervical vertebrae models in enhancing surgical skills, focusing on tumor removal, and involving 20 young neurosurgery residents. These models, featuring silicone materials to simulate the spinal cord and tumor tissues, provided a realistic training experience. The training protocol included a laminectomy, dural incision, and tumor resection, using a range of microsurgical tools, focusing on steps usually performed by senior surgeons. Results: The training program received high satisfaction rates, with 85% of participants extremely satisfied and 15% satisfied. The 3D models were deemed very realistic by 85% of participants, effectively replicating real-life scenarios. A total of 80% found that the simulated pathologies were varied and accurate, and 90% appreciated the models’ accurate tactile feedback. The training was extremely useful for 85% of the participants in developing surgical skills, with significant post-training confidence boosts and a strong willingness to recommend the program to peers. Conclusions: Continuing laboratory training for residents is crucial. Our model offers essential, accessible training for all hospitals, regardless of their resources, promising improved surgical quality and patient outcomes across various pathologies.

show abstract

Section: Discussionmentioning

confidence: 99%

Low-Cost 3D Models for Cervical Spine Tumor Removal Training for Neurosurgery Residents

Sufianov,

Ovalle,

Cruz

et al. 2024

Brain Sciences

View full text Add to dashboard Cite

show abstract

“…The perforating branches of the BA are usually divided into short and long intrapontine terminals [ 32 ]. The short vessels mainly irrigated the middle part of the pyramidal branches.…”

Section: Discussionmentioning

confidence: 99%

“…Such knowledge not only benefits surgeons but also enhances the precision of diagnostic imaging and the effectiveness of non-surgical interventions [ 31 ]. The vertebrobasilar vascular system’s role in posterior fossa pathology is both critical and complex [ 32 ]. As surgical techniques continue to evolve, the need for a comprehensive understanding of this system’s anatomy and variations becomes increasingly important.…”

Section: Introductionmentioning

confidence: 99%

The Vertebrobasilar Trunk and Its Anatomical Variants: A Microsurgical Anatomical Study

Reyes-Soto,

Pérez-Cruz,

Delgado-Reyes

et al. 2024

Diagnostics

View full text Add to dashboard Cite

Background: The trunk of the basilar artery has not been included in microanatomy studies. Anatomical variants of the perforant branches of the vertebrobasilar trunk and their relationship with neural structures are very important in surgical approaches. Surgical dissection for the treatment of vascular lesions requires a perfect knowledge of the microsurgical anatomy. Methods: We conducted a descriptive analysis of 50 brains, which were fixed with formalin at 10% for 2 weeks, and the arterial system was injected with colored latex. After microsurgical dissection, it was divided into three segments: the lower portion went from the anterior spinal artery to the anteroinferior cerebellar artery, the middle segment was raised from the upper limit of the lower portion to the origin of the superior cerebellar artery, and the upper segment ranged from the previous portion until the origin of the posterior cerebral artery. Results: The basilar artery had an average length of 30 mm. The average diameter at its junction with the vertebral arteries was 4.05 mm. The average middle segment was 3.4 mm in diameter and 15.2 mm in length. The diameter of the upper segment was 4.2 mm, and its average length was 3.6 mm. The average number of bulbar arteries was three, and their average diameter was 0. 66 mm. The number of caudal perforator arteries were five on average, with a diameter of 0.32 mm. We found three rare cases of anatomical variants in the vertebra–basilar junction. Conclusions: The basilar artery emits penetrating branches in its lower, middle, and upper portions. The origin of penetrating branches was single or divided after forming a trunk. However, we observed long branches from perforant arteries.

show abstract

“…The transoral approach at the CCJ is traditionally used to treat rheumatoid pannus, some tumors with spinal cord compression, and basilar invagination [ 7 , 8 , 9 ]. It was first described in 1917 by Kanavel, who used it to remove a projectile at the CCJ.…”

Section: Introductionmentioning

confidence: 99%

Clivus-Cervical Stabilization through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note

Reyes-Soto,

Corona De la Torre,

Honda Partida

et al. 2024

Brain Sciences

View full text Add to dashboard Cite

Craniocervical tumors lead to cervical pain, instability, and neurological symptoms, reducing the quality of life. Effective surgical intervention at the craniocervical junction (CCJ) is critical and complex, involving comprehensive approaches and advanced reconstructive techniques. This study, conducted at Mexico City’s National Institute of Cancerology, focused on three surgical cases that occurred in 2023 involving tumors at the CCJ: two chordomas and one prostate adenocarcinoma. We utilized a specialized technique: clivus-cervical stabilization reinforced with a polymethylmethacrylate (PMMA)-filled cervical mesh. Postoperatively, patients showed marked neurological recovery and reduced cervical pain, with enhanced Karnofsky and Eastern Cooperative Oncology Group (ECOG) scores indicating improved life quality. The surgical technique provided excellent exposure and effective tumor resection, utilizing PMMA-filled cervical mesh for stability. Tumoral lesions at the CCJ causing instability can be surgically treated through a transoral approach. This type of approach should be performed with precise indications to avoid complications associated with the procedure.

show abstract

Traumatic Pseudoaneurysm of the Ascending Cervical Artery Treated with N-butyl Cyanoacrylate Embolization: A Case Report and Review of the Literature

Cited by 3 publications

References 9 publications

Low-Cost 3D Models for Cervical Spine Tumor Removal Training for Neurosurgery Residents

Low-Cost 3D Models for Cervical Spine Tumor Removal Training for Neurosurgery Residents

The Vertebrobasilar Trunk and Its Anatomical Variants: A Microsurgical Anatomical Study

Clivus-Cervical Stabilization through Transoral Approach in Patients with Craniocervical Tumor: Three Cases and Surgical Technical Note

Contact Info

Product

Resources

About