Mader K, Gawenda M, Zähringer M, Lackner K, Brunkwall J
Klinik für Unfallchirurgie, Hand-, und Weiderherstellungschirurgie, St. Vinzenz-Hospital, Cologne.
Zentralbl Chir. 2003 Feb;128(2):150-4. doi: 10.1055/s-2003-37769.
Symptomatic dissecting aneurysms of the extracranial internal carotid artery after blunt trauma are not frequent. Medical treatment of these lesions can be ineffective and surgical options present high morbidity. We describe a case successfully treated with endovascular therapy, using a self-expanding stent. The advantages of the endovascular treatment are outlined, the literature on carotid artery injuries by blunt trauma and management strategies are reviewed.
钝性创伤后颅外颈内动脉出现症状性夹层动脉瘤并不常见。对这些病变进行药物治疗可能无效，而手术选择则具有较高的发病率。我们描述了一例使用自膨式支架经血管内治疗成功的病例。概述了血管内治疗的优点，回顾了钝性创伤导致颈动脉损伤的相关文献及治疗策略。
