[分期双侧椎动脉栓塞治疗双侧椎动脉夹层动脉瘤所致蛛网膜下腔出血：病例报告]
[Staged bilateral VA embolization for SAH due to bilateral VA dissection: case report].
作者信息
Suzuyama Kenji, Koizumi Toru, Udono Hiroki, Shiraishi Tetsuya, Takase Yukinori, Uchino Akira, Tabuchi Kazuo
机构信息
Department of Neurosurgery, Saga Medical School, 5-1-1 Nabeshima, Saga-city, Saga 849-8501, Japan.
出版信息
No Shinkei Geka. 2002 Oct;30(10):1105-8.
Vertebral artery (VA) dissections are uncommon, but are increasingly recognized as a cause of posterior circulation stroke in young adults. We describe a patient with bilateral VA dissection who presented SAH. The patient was successfully treated by proximal coil occlusion of the bilateral vertebral arteries in two stages. In the treatment of SAH due to bilateral VA dissection, it is important to estimate the status of the treated vessels or contralateral vessels by follow-up angiography. Staged bilateral proximal VA occlusions should be considered in the case of recurrent VA dissection or progressive aneurysm enlargement.
椎动脉（VA）夹层并不常见，但越来越被认为是年轻成年人后循环卒中的一个病因。我们描述了一名双侧椎动脉夹层并出现蛛网膜下腔出血（SAH）的患者。该患者通过分两阶段对双侧椎动脉进行近端弹簧圈栓塞成功得到治疗。在治疗双侧椎动脉夹层所致的SAH时，通过随访血管造影评估已治疗血管或对侧血管的状况很重要。对于复发性椎动脉夹层或动脉瘤进行性增大的情况，应考虑分阶段进行双侧椎动脉近端闭塞术。
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