Ansari Sameer A, Parmar Hemant, Ibrahim Mohannad, Gemmete Joseph J, Gandhi Dheeraj
Department of Radiology, University of Chicago Medical Center, Chicago, IL 60637, USA.
Neuroimaging Clin N Am. 2009 May;19(2):257-70, Table of Contents. doi: 10.1016/j.nic.2009.01.007.
Cervical arterial dissections and dissecting aneurysms are relatively rare pathologies, but can be associated with significant morbidity from ischemic complications. We review the challenges in diagnosing cervical arterial dissections, their unique clinical presentations and imaging characteristics. Although the majority of cervical dissections heal spontaneously with medical management, we discuss the specific indications for surgical or endovascular treatment to prevent thromboembolic complications. Furthermore, we provide a detailed technical review on endovascular stent reconstruction, the primary interventional option for symptomatic cervical dissections and dissecting aneurysms refractory to medical management.
颈动脉瘤夹层和夹层动脉瘤是相对罕见的病变，但可能会因缺血性并发症而导致显著的发病率。我们回顾了诊断颈动脉瘤夹层的挑战、其独特的临床表现和影像学特征。尽管大多数颈动脉瘤夹层通过药物治疗可自发愈合，但我们讨论了手术或血管内治疗的具体指征，以预防血栓栓塞并发症。此外，我们还对血管内支架重建进行了详细的技术综述，这是有症状的颈动脉瘤夹层和药物治疗无效的夹层动脉瘤的主要介入选择。
