手术中动脉损伤导致的硬膜内动脉瘤：弹簧圈栓塞治疗
Intradural Aneurysm Caused by Arterial Injury during Surgery: Treatment with Coil Embolization.
作者信息
Oran I, Parildar M, Dalbasti T, Memis A, Ozdamar N
机构信息
Ege University Medical School, Department of Radiology, Izmir; Turkey -
出版信息
Interv Neuroradiol. 2001 Dec 22;7(4):353-6. doi: 10.1177/159101990100700413. Epub 2002 Jan 10.
Abstract
We described a patient with subarachnoid hemorrhage due to a ruptured intradural aneurysm caused by arterial injury during surgery and severe symptomatic vasospasm. The iatrogenic posttraumatic aneurysm was occluded by using GDC with preservation of parent artery followed by intraarterial infusion of papaverine to treat vasospasm as an one-stage procedure. This resulted in significant angiographic resolution of the vasospasm and the patient's clinical outcome was excellent. Endovascular approach to posttraumatic intracranial aneurysms and endosaccular GDC embolization of aneurysm with concomitant intraarterial papaverine infusion to treat vasospasm are discussed.
摘要
我们描述了一名患者，其因手术期间动脉损伤导致硬脊膜内动脉瘤破裂而发生蛛网膜下腔出血，并伴有严重的症状性血管痉挛。通过使用GDC闭塞医源性创伤后动脉瘤，同时保留载瘤动脉，随后动脉内输注罂粟碱作为一期手术治疗血管痉挛。这使得血管痉挛在血管造影上得到显著缓解，患者的临床结局良好。本文还讨论了创伤后颅内动脉瘤的血管内治疗方法以及动脉瘤内囊GDC栓塞联合动脉内罂粟碱输注治疗血管痉挛的方法。
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