Informacja

Drogi użytkowniku, aplikacja do prawidłowego działania wymaga obsługi JavaScript. Proszę włącz obsługę JavaScript w Twojej przeglądarce.

Tytuł pozycji:

An Endovascular Surgery Experience in Far-Forward Military Healthcare-A Case Series.

Tytuł:
An Endovascular Surgery Experience in Far-Forward Military Healthcare-A Case Series.
Autorzy:
Coughlin DJ; Department of Neurosurgery, Madigan Army Medical Center, Tacoma, WA 98431, United States.
Boulter JH; Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, MD, United States.
Miller CA; Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, MD, United States.
Curry BP; Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, MD, United States.
Glaser J; Department of Naval Medical Research, Fort Sam Houston, TX, United States.
Fernandez N; Department of Surgery, Naval Medical Center, San Diego, CA, United States.
Bell RS; Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, MD, United States.
Schuette AJ; Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, MD, United States.
Źródło:
Military medicine [Mil Med] 2020 Dec 30; Vol. 185 (11-12), pp. 2183-2188.
Typ publikacji:
Journal Article
Język:
English
Imprint Name(s):
Publication: 2018- : Oxford : Oxford University Press
Original Publication: Washington, D.C. : Association of Military Surgeons, United States, 1955-
MeSH Terms:
Hospitals, Military*
Military Personnel*
Adolescent ; Adult ; Afghanistan ; Brain Ischemia ; Child ; Child, Preschool ; Delivery of Health Care ; Female ; Humans ; Retrospective Studies ; Stroke/surgery ; United States ; Young Adult
Entry Date(s):
Date Created: 20200820 Date Completed: 20210409 Latest Revision: 20210409
Update Code:
20240105
DOI:
10.1093/milmed/usaa219
PMID:
32812042
Czasopismo naukowe
Introduction: The advancement of interventional neuroradiology has drastically altered the treatment of stroke and trauma patients. These advancements in first-world hospitals, however, have rarely reached far forward military hospitals due to limitations in expertise and equipment. In an established role III military hospital though, these life-saving procedures can become an important tool in trauma care.
Materials and Methods: We report a retrospective series of far-forward endovascular cases performed by 2 deployed dual-trained neurosurgeons at the role III hospital in Kandahar, Afghanistan during 2013 and 2017 as part of Operations Resolute Support and Enduring Freedom.
Results: A total of 15 patients were identified with ages ranging from 5 to 42 years old. Cases included 13 diagnostic cerebral angiograms, 2 extremity angiograms and interventions, 1 aortogram and pelvic angiogram, 1 bilateral embolization of internal iliac arteries, 1 lingual artery embolization, 1 administration of intra-arterial thrombolytic, and 2 mechanical thrombectomies for acute ischemic stroke. There were no complications from the procedures. Both embolizations resulted in hemorrhage control, and 1 of 2 stroke interventions resulted in the improvement of the NIH stroke scale.
Conclusions: Interventional neuroradiology can fill an important role in military far forward care as these providers can treat both traumatic and atraumatic cerebral and extracranial vascular injuries. In addition, knowledge and skill with vascular access and general interventional radiology principles can be used to aid in other lifesaving interventions. As interventional equipment becomes more available and portable, this relatively young specialty can alter the treatment for servicemen and women who are injured downrange.
(Published by Oxford University Press on behalf of the Association of Military Surgeons of the United States 2020. This work is written by US Government employee and is in the public domain in the US.)
Zaloguj się, aby uzyskać dostęp do pełnego tekstu.

Ta witryna wykorzystuje pliki cookies do przechowywania informacji na Twoim komputerze. Pliki cookies stosujemy w celu świadczenia usług na najwyższym poziomie, w tym w sposób dostosowany do indywidualnych potrzeb. Korzystanie z witryny bez zmiany ustawień dotyczących cookies oznacza, że będą one zamieszczane w Twoim komputerze. W każdym momencie możesz dokonać zmiany ustawień dotyczących cookies