基底动脉狭窄在支架辅助血管成形术后病理结果迅速进展并破裂
Pathological Result of Basilar Artery Stenosis Rapidly Progressed and Ruptured with Stent-assisted Angioplasty.
作者信息
Nagashima H, Naito K, Oya F, Koyama J
机构信息
Interventional Neuroradiology Center, Aizawa Hospital; Honjo, Matsumoto, Japan.
出版信息
Interv Neuroradiol. 2006 Jan 20;12(Suppl 1):214-8. doi: 10.1177/15910199060120S139. Epub 2006 Jun 15.
Abstract
Intracranial artery angioplasty utilizing coronary stent is now widely tried as an effective alternative for treating intracranial artery stenosis, and several successful result of stent-assisted angioplasty for intracranial artery were reported. Authors experienced a case of the basilar artery stenosis, in which re-stenosis progressed rapidly after simple balloon angioplasty and resulted in vessel rupture during stent-assisted angioplasty. Pathological result achieved by autopsy showed vessel wall disruption at the stent and multiple interruptions and defect of elastic laminar.
摘要
利用冠状动脉支架进行颅内动脉血管成形术目前作为治疗颅内动脉狭窄的一种有效替代方法被广泛尝试，并且有几例颅内动脉支架辅助血管成形术的成功结果被报道。作者经历了一例基底动脉狭窄病例，其中单纯球囊血管成形术后再狭窄迅速进展，并在支架辅助血管成形术期间导致血管破裂。尸检获得的病理结果显示支架处血管壁破坏以及弹性层的多处中断和缺损。
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