Mohammed Mohammed I, Sandhu Johnny S, Wakhloo Ajay K
Section of Neuroendovascular Surgery and Interventional Neuroradiology, Department of Radiology, University of Miami School of Medicine, FL 33101, USA.
AJNR Am J Neuroradiol. 2002 Mar;23(3):437-41.
We report the successful stent placement and secondary coil placement in a wide-necked persistent trigeminal artery (TA) aneurysm, in which the internal carotid artery (ICA) was preserved and the TA "jailed." Nine-month follow-up angiography revealed a completely obliterated aneurysm and patent parent ICA and TA. MR images obtained at 16-mo follow-up showed no infarction of the brain in the distribution of the jailed TA. The risks of stent jailing and possible solutions are discussed.
我们报告了一例成功在宽颈持续性三叉神经动脉(TA)动脉瘤中置入支架及二期置入弹簧圈的病例,术中保留了颈内动脉(ICA)并“封堵”了TA。9个月的随访血管造影显示动脉瘤完全闭塞,载瘤ICA和TA通畅。16个月随访时获得的磁共振成像(MR)显示,被封堵的TA供血区域无脑梗死。文中讨论了支架封堵的风险及可能的解决方法。