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小脑后下动脉动脉瘤血管内治疗后迟发性自发性破裂：临床病理研究。

Delayed spontaneous rupture of a posterior inferior cerebellar artery aneurysm following treatment with flow diversion: a clinicopathologic study.

机构信息

Division of Neurosurgery, Department of Surgery, University of Alberta, Edmonton, Alberta, Canada.

出版信息

AJNR Am J Neuroradiol. 2012 Apr;33(4):E46-51. doi: 10.3174/ajnr.A2532. Epub 2011 Aug 11.

DOI:10.3174/ajnr.A2532
PMID:21835950
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8050442/
Abstract

In this report, we present the fatal spontaneous delayed rupture of a previously unruptured large PICA aneurysm following treatment with the PED. Pathology at postmortem examination has supported the theory that intra-aneurysmal thrombus may acutely destabilize the aneurysm wall. Aneurysms with an anatomic arrangement that promote continued flow into the neck may not be optimal candidates for the flow-diversion treatment strategy.

摘要

在本报告中，我们介绍了一例先前未破裂的大型 PICA 动脉瘤在接受 PED 治疗后发生致命性自发性延迟破裂的病例。尸检病理支持了这样一种理论，即瘤内血栓可能会使动脉瘤壁突然不稳定。那些解剖结构上有利于持续血流进入瘤颈的动脉瘤可能不是血流导向治疗策略的理想候选者。

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本文引用的文献

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2
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AJNR Am J Neuroradiol. 2011 Jan;32(1):27-33. doi: 10.3174/ajnr.A2398. Epub 2010 Nov 11.
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Very late thrombosis of a pipeline embolization device construct: case report.Pipeline 栓塞装置结构的极晚期血栓形成：病例报告。
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