特发性海绵窦段颈内动脉瘤经蝶窦破裂后形成假性动脉瘤：血管内治疗后弹簧圈移位及早期复发
Pseudoaneurysm formation following intrasphenoid rupture of an idiopathic intracavernous carotid artery aneurysm: coil migration and early recurrence after endovascular treatment.
作者信息
De Blasi R, Bracciolini E, Chiumarulo L, Salvati A, Monetti C, Federico F, Carella A
机构信息
Unit of Neuroradiology and Interventional Radiology, "Di Venere" Hospital, Bari, Italy.
出版信息
Interv Neuroradiol. 2010 Dec;16(4):442-6. doi: 10.1177/159101991001600411. Epub 2010 Dec 17.
Abstract
Intrasphenoid rupture of a non-traumatic aneurysm of the cavernous carotid artery is rare. We describe a patient in whom this condition manifested with epistaxis and led to the formation of a pseudoaneurysm occupying the right sphenoid sinus. The lesion recurred after repeated attempts at conservative endovascular therapy. Eventually the patient was treated with endovascular occlusion of the right internal carotid artery. Our report emphasizes the relapsing behaviour of a non-traumatic aneurysm of the cavernous portion of the internal carotid artery ruptured into the sphenoid sinus.
摘要
海绵窦段颈内动脉非创伤性动脉瘤的蝶窦内破裂很少见。我们描述了一名患者，该疾病表现为鼻出血，并导致形成一个占据右侧蝶窦的假性动脉瘤。在反复尝试保守性血管内治疗后，病变复发。最终，该患者接受了右侧颈内动脉的血管内闭塞治疗。我们的报告强调了破裂入蝶窦的颈内动脉海绵窦段非创伤性动脉瘤的复发性。
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