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颅外颈动脉和椎动脉覆膜支架的血管内植入:病例系列及文献综述

Endovascular implantation of covered stents in the extracranial carotid and vertebral arteries: Case series and review of the literature.

作者信息

Alaraj Ali, Wallace Adam, Amin-Hanjani Sepideh, Charbel Fady T, Aletich Victor

机构信息

Department of Neurosurgery, University of Illinois at Chicago, College of Medicine, Chicago IL, USA.

出版信息

Surg Neurol Int. 2011;2:67. doi: 10.4103/2152-7806.81725. Epub 2011 May 28.

Abstract

BACKGROUND

Covered stents are used endovascularly to seal arterial wall defects while preserving vessel patency. This report describes our experience with the use of covered stents to treat cervical pathology, and a review of the literature in regards to this topic is presented.

CASE DESCRIPTION

Two patients presenting with the carotid blowout syndrome and one patient with a vertebrojugular fistula were treated with covered stents. This allowed for preservation of the vessel and was a treatment alternative to cerebral bypass.

CONCLUSION

Covered stents provide a viable means of preserving the cervical vessels in selected patients; however, long-term follow-up is necessary to determine stent patency and permanency of hemostasis.

摘要

背景

覆膜支架用于血管内封堵动脉壁缺损,同时保持血管通畅。本报告描述了我们使用覆膜支架治疗颈部病变的经验,并对该主题的文献进行了综述。

病例描述

两名患有颈动脉破裂综合征的患者和一名患有椎静脉瘘的患者接受了覆膜支架治疗。这使得血管得以保留,是一种替代脑搭桥的治疗方法。

结论

覆膜支架为特定患者保留颈部血管提供了一种可行的方法;然而,需要长期随访以确定支架通畅情况和止血的持久性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c333/3115199/96b15e7af799/SNI-2-67-g001.jpg

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