[颈内动脉假性动脉瘤和狭窄：支架及弹簧圈治疗]
[Internal carotid artery pseudoaneurysm and stenosis: treatment with stents and coils].
作者信息
Górriz-Gomez E, Carreira J M, González Garcia A, Mayol-Deyá A
机构信息
Unidad de Radiología Vascular Intervencionista. Hospital Universitario Nuestra Señora del Pino. Las Palmas de Gran Canaria.
出版信息
Neurocirugia (Astur). 2005 Dec;16(6):528-32.
PURPOSE
To describe the endovascular management of a patient with post-dissection internal carotid pseudoaneurysm and stenosis.
CASE REPORT
A 45-year-old man presented with left hemyparesia; angiography showed right internal carotid artery occlusion, left carotid stenosis and pseudoaneurysm. A metallic uncovered stent was implanted by means of a femoral approach. Coils were delivered through the uncovered stent and the pseudoaneurysm was excluded.
CONCLUSION
The internal carotid percutaneous implantation of a carotid uncovered stent, and embolization through stent in a patient with stenosis and pseudoaneurysm, appears to be a safe procedure without risk of coils migration.
目的
描述1例夹层后颈内动脉假性动脉瘤合并狭窄患者的血管内治疗。
病例报告
一名45岁男性出现左侧偏瘫；血管造影显示右侧颈内动脉闭塞，左侧颈动脉狭窄及假性动脉瘤。通过股动脉途径植入一枚无覆膜金属支架。通过无覆膜支架送入弹簧圈，闭塞假性动脉瘤。
结论
对于合并狭窄及假性动脉瘤的患者，经皮颈内动脉植入无覆膜颈动脉支架并通过支架进行栓塞，似乎是一种安全的手术，不存在弹簧圈移位风险。
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