导丝诱发的颈内动脉海绵窦瘘
Guidewire-induced carotid cavernous fistula.
作者信息
Kim T S, Ezura M, Takahashi A, Nishimura S, Yoshimoto T
机构信息
Department of Neurosurgery, Kohnan Hospital; Sendai, Japan.
出版信息
Interv Neuroradiol. 2001 Jun 30;7(2):161-5. doi: 10.1177/159101990100700212. Epub 2001 Jul 15.
A rare case of carotid cavernous fistula occurring during endovascular embolization of the left carotid cave aneurysm in a 48-year-old female is reported. It was thought to be caused by the tear of a small branch derived from the intracavernous internal carotid artery while the guidewire was passing the sharp posterior bend of the intracavernous internal carotid artery. The left carotid cave aneurysm was completely occluded with five Guglielmi detachable coils assisted by neck plasty technique. It was decided to follow-up the carotid cavernous fistula since it was asymptomatic. Follow-up angiogram performed two weeks later revealed spontaneous obliteration of the carotid cavernous fistula.
报道了1例48岁女性在左颈动脉海绵窦段动脉瘤血管内栓塞过程中发生颈动脉海绵窦瘘的罕见病例。认为其原因是导丝通过海绵窦段颈内动脉的锐利后弯时，海绵窦段颈内动脉发出的一小分支撕裂。采用颈部成形技术辅助，用5枚 Guglielmi 可脱卸弹簧圈将左颈动脉海绵窦段动脉瘤完全闭塞。鉴于该颈动脉海绵窦瘘无症状，决定对其进行随访。两周后进行的随访血管造影显示颈动脉海绵窦瘘自发闭塞。
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