颅内支架置入术治疗与颅内血管成形术相关的颈动脉海绵窦瘘。病例报告。
Intracranial stent placement for the treatment of a carotid-cavernous fistula associated with intracranial angioplasty. Case report.
作者信息
Kim Stanley H, Qureshi Adnan I, Boulos Alan S, Bendok Bernard R, Levy Elad L, Yahia Abutaher M, Guterman Lee R, Hopkins L Nelson
机构信息
Department of Neurosurgery and Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York 14209-1194, USA.
出版信息
J Neurosurg. 2003 May;98(5):1116-9. doi: 10.3171/jns.2003.98.5.1116.
The authors report a case of an iatrogenic carotid-cavernous fistula (CCF) associated with intracranial angioplasty. Angioplasty was performed using a 3 x 10-mm Open Sail coronary balloon in a patient with high-grade stenosis of the left cavernous internal carotid artery (ICA). After angioplasty, a perforation developed in the cavernous ICA, resulting in a CCF. A 3.5 x 9-mm S670 coronary stent was used to treat the fistula. To the authors' knowledge, this is the first reported case in which a CCF developed after angioplasty was performed using a coronary balloon. Long-term angiographic and clinical evaluation is needed to test the suitability and durability of intracranial angioplasty and stent placement in the treatment of symptomatic intracranial stenosis.
作者报告了一例与颅内血管成形术相关的医源性颈内动脉海绵窦瘘（CCF）病例。在一名左侧海绵窦段颈内动脉（ICA）重度狭窄的患者中，使用3×10毫米的Open Sail冠状动脉球囊进行了血管成形术。血管成形术后，海绵窦段颈内动脉出现穿孔，导致CCF形成。使用3.5×9毫米的S670冠状动脉支架治疗该瘘。据作者所知，这是首例使用冠状动脉球囊进行血管成形术后发生CCF的报道病例。需要进行长期血管造影和临床评估，以检验颅内血管成形术和支架置入术治疗有症状颅内狭窄的适用性和耐久性。
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