使用覆膜支架对海绵窦段颈内动脉假性动脉瘤进行血管内治疗。
Endovascular treatment using graft-stent for pseudoaneurysm of the cavernous internal carotid artery.
作者信息
Ko Jun Kyeung, Lee Tae Hong, Lee Jae Il, Choi Chang Hwa
机构信息
Department of Neurosurgery, School of Medicine, Pusan National University, Busan, Korea.
出版信息
J Korean Neurosurg Soc. 2011 Jul;50(1):48-50. doi: 10.3340/jkns.2011.50.1.48. Epub 2011 Jul 31.
Abstract
A 57-year-old man presented with a 2-day history of left oculomotor palsy. Digital subtraction angiography revealed a pseudoaneurysm of the left cavernous internal carotid artery (ICA) measuring 37×32 mm. The pseudoaneurysm was treated with a balloon expandable graft-stent to occlude the aneurysmal neck and preserve the parent artery. A post-procedure angiogram confirmed normal patency of the ICA and complete sealing of the aneurysmal neck with no opacification of the sac. After the procedure, the oculomotor palsy improved gradually, and had completely resolved 3 months after the procedure. A graft-stent can be an effective treatment for a pseudoaneurysm of the cavernous ICA with preservation of the parent artery.
摘要
一名57岁男性，有2天的左侧动眼神经麻痹病史。数字减影血管造影显示左侧海绵窦段颈内动脉假性动脉瘤，大小为37×32mm。采用球囊扩张式移植物支架治疗该假性动脉瘤，以闭塞瘤颈并保留载瘤动脉。术后血管造影证实颈内动脉通畅正常，瘤颈完全封闭，瘤腔无造影剂充盈。术后，动眼神经麻痹逐渐改善，并在术后3个月完全消失。移植物支架可作为保留载瘤动脉治疗海绵窦段颈内动脉假性动脉瘤的有效方法。
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