使用 Guglielmi 可脱卸弹簧圈不完全栓塞后小型囊状动脉瘤的组织反应
Tissue response of a small saccular aneurysm after incomplete occlusion with a Guglielmi detachable coil.
作者信息
Shimizu S, Kurata A, Takano M, Takagi H, Yamazaki H, Miyasaka Y, Fujii K
机构信息
Department of Neurosurgery, Kitasato University, School of Medicine, Japan.
出版信息
AJNR Am J Neuroradiol. 1999 Apr;20(4):546-8.
Abstract
A 49-year-old woman had a small saccular aneurysm that was incompletely occluded with a Guglielmi detachable coil (GDC). She died from rupture of another aneurysm 42 days after the treatment. Autopsy for the embolized aneurysm revealed no neoendothelium at the aneurysmal neck, but an organized thrombus was observed limited to the periphery of the aneurysmal lumen. Although isolation of the aneurysm was not apparent, loose embolization with this method may help to reinforce the aneurysmal wall.
摘要
一名49岁女性患有一个小型囊状动脉瘤，使用 Guglielmi 可脱性弹簧圈（GDC）进行不完全栓塞。治疗后42天，她死于另一个动脉瘤破裂。对栓塞的动脉瘤进行尸检发现，瘤颈处无新生内皮，但仅在动脉瘤腔周边观察到机化血栓。虽然动脉瘤的隔离并不明显，但用这种方法进行松散栓塞可能有助于加固动脉瘤壁。
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