Simionato F, Righi C, Scotti G
Department of Neuroradiology, San Raffaele Hospital, Milan, Italy.
Neuroradiology. 1999 Jul;41(7):543-7. doi: 10.1007/s002340050801.
Traumatic internal carotid dissection occurs frequently in motor vehicle accidents, typically extracranially, close to the skull base. Dissection may lead to stenosis or occlusion of the vessel, possibly with a pseudoaneurysm, symptoms ranging from neck pain to neurological deficits. In symptomatic patients and in cases of pseudoaneurysm, when conservative medical treatment fails, surgery or endovascular treatment are indicated. We report a post-traumatic dissecting aneurysm of the extracranial internal carotid artery successfully treated with stenting via a transfemoral approach.
创伤性颈内动脉夹层在机动车事故中频繁发生,通常发生在颅外,靠近颅底。夹层可能导致血管狭窄或闭塞,可能伴有假性动脉瘤,症状从颈部疼痛到神经功能缺损不等。对于有症状的患者以及假性动脉瘤病例,当保守药物治疗失败时,应进行手术或血管内治疗。我们报告了一例经股动脉途径支架置入成功治疗的颅外颈内动脉创伤性夹层动脉瘤。