采用血管内支架移植物置入术治疗医源性颈内动脉撕裂和颈动脉海绵窦瘘。
Treatment of iatrogenic internal carotid artery laceration and carotid cavernous fistula with endovascular stent-graft placement.
作者信息
Kocer Naci, Kizilkilic Osman, Albayram Sait, Adaletli Ibrahim, Kantarci Fatih, Islak Civan
机构信息
Division of Neuroradiology, Department of Radiology, Cerrahpasa Medical School, Istanbul, Turkey.
出版信息
AJNR Am J Neuroradiol. 2002 Mar;23(3):442-6.
Abstract
The risk of fatal injury of the internal carotid artery (ICA) and surrounding anatomy during transsphenoidal surgery for pituitary adenoma is the most severe potential complication associated with this particular approach. We present a case in which iatrogenic injury to a patient's ICA and resultant carotid cavernous fistula and massive hemorrhage was successfully managed with the emergency placement of an endovascular stent-graft. Both findings in the relevant literature and practical considerations concerning both stent-grafts and other more commonly used options for the treatment of iatrogenic ICA injury are discussed.
摘要
垂体腺瘤经蝶窦手术期间颈内动脉（ICA）及周围解剖结构发生致命损伤的风险是与该特定手术方法相关的最严重潜在并发症。我们报告一例患者，其颈内动脉发生医源性损伤，导致颈动脉海绵窦瘘和大量出血，通过紧急置入血管内支架移植物成功得到处理。文中讨论了相关文献中的研究结果以及关于支架移植物和治疗医源性颈内动脉损伤的其他更常用方法的实际考量。
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