支架套叠技术治疗椎动脉夹层动脉瘤
Stent-within-a-stent technique for the treatment of dissecting vertebral artery aneurysms.
作者信息
Mehta Bharat, Burke Tom, Kole Max, Bydon Ali, Seyfried Donald, Malik Ghaus
机构信息
Department of Radiology, Henry Ford Hospital, Detroit, MI, USA.
出版信息
AJNR Am J Neuroradiol. 2003 Oct;24(9):1814-8.
Abstract
Subarachnoid hemorrhage from dissecting vertebral artery aneurysms is a well-known phenomenon. With the advent of navigable intracranial stents, these aneurysms are now amenable to endovascular stent placement. However, immediate aneurysm obliteration is often not accomplished, and current covered stents have poor short-term patency rates. We report a series of three patients with intradural dissecting vertebral artery aneurysms treated with a novel endovascular stent-within-a-stent construct using currently available stent technology.
摘要
椎动脉夹层动脉瘤引起的蛛网膜下腔出血是一种众所周知的现象。随着可导航颅内支架的出现，现在这些动脉瘤适合进行血管内支架置入。然而，动脉瘤通常无法立即闭塞，并且目前的覆膜支架短期通畅率较低。我们报告了一系列3例硬脊膜内椎动脉夹层动脉瘤患者，他们使用现有的支架技术，采用一种新型的血管内支架套支架结构进行治疗。
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本文引用的文献
1
Stent placement for vertebral artery occlusive disease: preliminary clinical experience.
Neurosurg Focus. 1998 Oct 15;5(4):e15. doi: 10.3171/foc.1998.5.4.16.
2
Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery: technical case report.
Neurosurgery. 2002 Jan;50(1):213-6; discussion 216-7. doi: 10.1097/00006123-200201000-00034.
3
Primary stenting for high-grade basilar artery stenosis.
AJNR Am J Neuroradiol. 2000 Oct;21(9):1744-9.
4
Subarachnoid hemorrhage from vertebral artery dissecting aneurysms involving the origin of the posteroinferior cerebellar artery: report of two cases and review of the literature.
Neurosurgery. 2000 Jan;46(1):196-200; discussion 200-1.
5
Tandem intracranial stent deployment for treatment of an iatrogenic, flow-limiting, basilar artery dissection: technical case report.
Neurosurgery. 1999 Oct;45(4):919-24. doi: 10.1097/00006123-199910000-00042.
6
Efficacy and current limitations of intravascular stents for intracranial internal carotid, vertebral, and basilar artery aneurysms.
J Neurosurg. 1999 Oct;91(4):538-46. doi: 10.3171/jns.1999.91.4.0538.
7
Endovascular stent treatment of cervical internal carotid artery aneurysms with parent vessel preservation.
Surg Neurol. 1998 Oct;50(4):313-7; discussion 317. doi: 10.1016/s0090-3019(97)00461-8.
8
Treatment of a vertebral dissecting aneurysm with stents and coils: technical case report.
Neurosurgery. 1998 Aug;43(2):385-8. doi: 10.1097/00006123-199808000-00132.
9
Combined endovascular stent implantation and endosaccular coil placement for the treatment of a wide-necked vertebral artery aneurysm: technical case report.
Neurosurgery. 1998 Aug;43(2):380-3; discussion 384. doi: 10.1097/00006123-199808000-00127.
10
Stents for intracranial aneurysms: the beginning of a new endovascular era?
Neurosurgery. 1998 Aug;43(2):377-9. doi: 10.1097/00006123-199808000-00126.
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