巨大蜿蜒状动脉瘤的血管内治疗
Endovascular treatment of giant serpentine aneurysms.
作者信息
van Rooij W J, Sluzewski M, Beute G N
机构信息
Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg, the Netherlands.
出版信息
AJNR Am J Neuroradiol. 2008 Aug;29(7):1418-9. doi: 10.3174/ajnr.A1071. Epub 2008 Apr 3.
Abstract
Giant serpentine aneurysms are fusiform partially thrombosed aneurysms with a separate outflow tract to normal distal cerebral vessels. Three patients with giant serpentine aneurysms of the anterior and middle cerebral arteries were treated with endovascular occlusion of the aneurysmal lumen with coils or glue after balloon test occlusion of the involved vessel. In all 3 patients, leptomeningeal collateral circulation was sufficient to prevent distal ischemia.
摘要
巨大蜿蜒状动脉瘤是梭形的部分血栓形成的动脉瘤，有一条通向正常大脑远端血管的独立流出道。3例大脑前动脉和大脑中动脉巨大蜿蜒状动脉瘤患者，在对受累血管进行球囊试验闭塞后，采用弹簧圈或胶水对瘤腔进行血管内闭塞治疗。所有3例患者的软脑膜侧支循环足以预防远端缺血。
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