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Effectiveness of Atlas Transverse Process Resection Combined with Release and Perfusion Techniques in Treating Clinical Symptoms Caused by Internal Jugular Vein Stenosis Secondary to External Compression

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资源类型：
Pubmed体系：
作者：
Lu Shuaibin[1] * ; Peng Weicheng[1] * ; Ma Haiyang[1] * ; Peng Xupeng[1] ; Zhao Rui[1] ; Xu Sheng[1] ; Lv Meng[1] ; Wang Shengxi[1] ; Mao Beibei[1] ; Zhu Guangtong[1] ; Xiao Zhiyong[1] ; Ding Yuchuan[3] ; Ji Xunming[4,5,6,7] ; Hu Zhiqiang[1,2] ;
机构： [1]Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, No. 10,Tieyi Road, Yangfangdian, Haidian District, Beijing 10038, People’s Republic of China. [2]Department of Neurosurgery, Peking University Ninth School of Clinical Medicine, No. 10,Tieyi Road, Yangfangdian, Haidian District, Beijing 10038, People’s Republic of China. [3]Department of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA [4]Department of Neurology and China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China [5]Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, Beihang University, Beijing, China [6]Interdisciplinary Innovation Institute of Medicine and Engineering Interdisciplinary, Beihang University, Beijing, China [7]Department of Neurosurgery, Xuanwu Hospital, Xuanwu Hospital, Capital Medical University, Beijing, China
出处：
DOI： 10.1016/j.wneu.2025.124397
ISSN：

关键词： Internal jugular vein stenosis External compression Atlas transverse process resection Osseous decompression Venous release Hemodynamic perfusion

摘要：
The objective is to evaluate the surgical outcomes of partial atlas transverse process resection, with or without additional release and perfusion techniques, in the treatment of internal jugular vein stenosis from external compression.A retrospective cohort study was conducted on patients who underwent surgery from January 2020 to September 2022 and had J3 segment stenosis of the internal jugular vein (IJV) owing to osseous compression. CT venography (CTV), contrast-enhanced magnetic resonance angiography (CE-MRA), and Doppler ultrasonography were incorporated into the preoperative and postoperative evaluations at 1 week and 3 months to measure the diameter of the IJV and hemodynamic parameters. A visual analog scale (VAS) was employed to quantify the severity of symptoms. The outcomes of two surgical approaches were compared: isolated lateral partial atlas transverse process resection (isolated group, n=15) and combined resection with release and perfusion techniques (combined group, n=32).The treatment group exhibited substantially superior outcomes at the 1-week follow-up among 47 patients (mean age 52.53±13.76, including 24 males): In the treatment group, the symptom improvement rate was 62.5% (20 out of 32 patients), while in the control group, it was 20% (3 out of 15 patients). In the treatment group, 84.3% (27 out of 32 patients) of patients experienced stenosis alleviation, while 46.67% (7 out of 15 patients) of patients in the control group did. The control group demonstrated improvement in 40.0% (6 out of 15 patients), while the treatment group demonstrated hemodynamic improvement in 75.0% (24 out of 32 patients). All results were statistically significant (p<0.05). The treatment group (20%) and the control group (12.5%, p=0.815) were not significantly different in terms of complication rates during the 3-month follow-up.In comparison to isolated osseous decompression, the combined surgical protocol, which incorporates partial atlas transverse process resection, release, and perfusion techniques, exhibits superior anatomical restoration, hemodynamic recovery, and symptom relief, while maintaining comparable safety profiles.Copyright © 2025. Published by Elsevier Inc.

基金：
the National Natural Science Foundation of China (NSFC), No. 82171858 (to ZQH), and Beijing Municipal Hospital Administration, No. ZLRK202512 (to ZQH).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2025]版：
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
最新[2025]版：
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 外科
第一作者：
第一作者机构： [1]Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, No. 10,Tieyi Road, Yangfangdian, Haidian District, Beijing 10038, People’s Republic of China.
共同第一作者：
通讯作者：
通讯机构： [1]Department of Neurosurgery, Beijing Shijitan Hospital, Capital Medical University, No. 10,Tieyi Road, Yangfangdian, Haidian District, Beijing 10038, People’s Republic of China. [2]Department of Neurosurgery, Peking University Ninth School of Clinical Medicine, No. 10,Tieyi Road, Yangfangdian, Haidian District, Beijing 10038, People’s Republic of China. [4]Department of Neurology and China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China [5]Beijing Advanced Innovation Center for Big Data-Based Precision Medicine, Beihang University, Beijing, China [6]Interdisciplinary Innovation Institute of Medicine and Engineering Interdisciplinary, Beihang University, Beijing, China [7]Department of Neurosurgery, Xuanwu Hospital, Xuanwu Hospital, Capital Medical University, Beijing, China
推荐引用方式(GB/T 7714)：
Lu Shuaibin,Peng Weicheng,Ma Haiyang,et al.Effectiveness of Atlas Transverse Process Resection Combined with Release and Perfusion Techniques in Treating Clinical Symptoms Caused by Internal Jugular Vein Stenosis Secondary to External Compression[J].World Neurosurgery.2025,124397.doi:10.1016/j.wneu.2025.124397.
APA：
Lu Shuaibin,Peng Weicheng,Ma Haiyang,Peng Xupeng,Zhao Rui...&Hu Zhiqiang.(2025).Effectiveness of Atlas Transverse Process Resection Combined with Release and Perfusion Techniques in Treating Clinical Symptoms Caused by Internal Jugular Vein Stenosis Secondary to External Compression.World Neurosurgery,,
MLA：
Lu Shuaibin,et al."Effectiveness of Atlas Transverse Process Resection Combined with Release and Perfusion Techniques in Treating Clinical Symptoms Caused by Internal Jugular Vein Stenosis Secondary to External Compression".World Neurosurgery .(2025):124397

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