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血管成形术和支架置入术治疗急性颅内椎基底动脉夹层:两例报告

Treatment of acute intracranial vertebrobasilar dissection with angioplasty and stent placement: report of two cases.

作者信息

Willing Steven J, Skidmore Frank, Donaldson Jill, Nobo Ulises Lisandro, Chernukha Konstantin

机构信息

Department of Radiology, Indiana University School of Medicine, Indianapolis 46202, USA.

出版信息

AJNR Am J Neuroradiol. 2003 May;24(5):985-9.

Abstract

Acute vertebrobasilar dissection may cause subarachnoid hemorrhage by rupturing through the adventia or cerebral infarct by progressive occlusion of the true lumen. Recent reports on the endovascular management of this condition have focused on treatment of pseudoaneurysms. We report two cases where angioplasty or stent placement was successfully used to improve compromised blood flow secondary to vertebrobasilar dissection.

摘要

急性椎基底动脉夹层可能通过穿破外膜导致蛛网膜下腔出血,或因真腔逐渐闭塞引起脑梗死。近期关于这种疾病血管内治疗的报道主要集中在假性动脉瘤的治疗上。我们报告两例通过血管成形术或支架置入成功改善椎基底动脉夹层继发血流受损的病例。

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