Shi Guang-gang, Wang Jing-qing, Tang Jun
Department of Otorhinolaryngology, Shandong Provincial Hospital, Jinan 250021, China.
Zhonghua Er Bi Yan Hou Ke Za Zhi. 2003 Feb;38(1):50-2.
Pseudoaneurysm in siphon section of internal carotid artery (ICA) caused by craniocerebral trauma was diagnosed and totally embolized by applying digital subtraction angiography (DSA) technique, with satisfactory results. The clinical application of this technique was discussed.
The patients suffered from craniocerebral trauma with serious epistaxis were managed in our hospital by DSA. The patients with pseudoaneurysm in ICA were chosen from them. The circular function of Willis circulus in these patients were checked. If it was good, the ICA was totally embolised.
Among 32 patients suffered from craniocerebral trauma with serious epistaxis, 6 patients were definitely diagnosed by DSA to have pseudoaneurysm. The embolism was performed in 5 of them. Among these 5 patients, 4 cured, and 1 died. The patient who could not be embolized also died.
The pseudoaneurysm definitely diagnosed by DSA can be treated by embolizing siphon section of internal carotid artery completely, after checking the compensatory function of side branches in Willis circulus.
应用数字减影血管造影（DSA）技术诊断并完全栓塞颅脑外伤所致颈内动脉（ICA）虹吸段假性动脉瘤，效果满意。探讨该技术的临床应用。
对我院收治的颅脑外伤伴严重鼻出血患者行DSA检查，从中选取ICA假性动脉瘤患者，检查其Willis环的循环功能，若功能良好，则对ICA进行完全栓塞。
32例颅脑外伤伴严重鼻出血患者中，DSA确诊6例为假性动脉瘤，其中5例进行了栓塞治疗。这5例患者中，4例治愈，1例死亡。未行栓塞治疗的患者也死亡。
经DSA明确诊断的假性动脉瘤，在检查Willis环侧支代偿功能后，可通过完全栓塞颈内动脉虹吸段进行治疗。
