颅外-颅内大隐静脉高流量搭桥血管的血管内支架置入术：技术病例报告

Endovascular stenting of an extracranial-intracranial saphenous vein high-flow bypass graft: Technical case report.

作者信息

Maselli Giuliano, Tommasi Claudio De, Ricci Alessandro, Gallucci Massimo, Galzio Renato J

机构信息

Department of Operative Unit of Neurosurgery and Health Sciences, University of L'Aquila, San Salvatore Hospital, via Vetoio, 1, Coppito, 67100, L'Aquila, Italy.

出版信息

Surg Neurol Int. 2011;2:46. doi: 10.4103/2152-7806.79764. Epub 2011 Apr 19.

DOI:10.4103/2152-7806.79764

PMID:21660272

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3108449/

Abstract

BACKGROUND

The authors describe a case of endovascular stenting of an extracranial-intracranial saphenous vein high-flow bypass graft in the management of a complex bilateral carotid aneurysm case.

CASE DESCRIPTION

A 43-year-old woman was admitted with progressive visual field restriction and headache. Imaging studies revealed bilateral supraclinoid carotid aneurysms. The right carotid aneurysm was clipped and the left one was treated by an endovascular procedure, after performing an internal carotid artery-middle cerebral artery (ICA-MCA) saphenous vein bypass graft. A few months following the bypass procedure, a 70-80% stenosis of the graft was discovered and treated endovascularly with a stenting procedure. Follow-up at 36 months after the first operation showed the patency of the venous graft and no neurological deficits.

CONCLUSIONS

Endovascular stenting of the extracranial-intracranial saphenous vein high-flow bypass graft is technically feasible when postoperative graft occlusion is discovered.

摘要

背景

作者描述了1例在处理复杂双侧颈动脉动脉瘤病例时，对颅外-颅内大隐静脉高流量搭桥移植物进行血管内支架置入的情况。

病例描述

一名43岁女性因进行性视野缺损和头痛入院。影像学检查显示双侧鞍上颈动脉动脉瘤。右侧颈动脉动脉瘤进行了夹闭术，左侧在进行颈内动脉-大脑中动脉（ICA-MCA）大隐静脉搭桥移植物术后，通过血管内手术进行治疗。搭桥手术后几个月，发现移植物出现70%-80%的狭窄，并通过支架置入术进行血管内治疗。首次手术后36个月的随访显示静脉移植物通畅，且无神经功能缺损。