颅内动脉狭窄血管成形术后迟发性进展性再狭窄一例报告 **解析**： 1. 原文标题为“Delayed progressive restenosis of the supraclinoid internal carotid artery treated with percutaneous transluminal angioplasty in a patient with aneurysmal subarachnoid hemorrhage.”，根据文章内容，主要是对颅内动脉狭窄血管成形术后迟发性进展性再狭窄的患者进行治疗，可译为“颅内动脉狭窄血管成形术后迟发性进展性再狭窄一例报告”。 2. 对于专业名词，如“subarachnoid hemorrhage”译为“蛛网膜下腔出血”，“supraclinoid internal carotid artery”译为“颅内颈内动脉”，“percutaneous transluminal angioplasty”译为“经皮腔内血管成形术”。
Delayed progressive restenosis of the supraclinoid internal carotid artery treated with percutaneous transluminal angioplasty in a patient with aneurysmal subarachnoid hemorrhage.
机构信息
University Hospitals Case Medical Center, Cleveland, Ohio, USA.
出版信息
J Neurointerv Surg. 2009 Dec;1(2):175-8. doi: 10.1136/jnis.2009.001149. Epub 2009 Oct 5.
Typically occurring between 3 days and 3 weeks post-hemorrhage, cerebral vasospasm in the acute stage after aneurysmal subarachnoid hemorrhage is a major contributor to the morbidity and mortality associated with patient outcomes, despite advances in aneurysm treatment and vasospasm management. Though incompletely understood, cerebral vasospasm is well described in the immediate post-hemorrhage patient. Less detailed descriptions exist of delayed or progressive restenosis after aneurysmal subarachnoid hemorrhage and resultant vasospasm. We report a case of delayed progressive supraclinoid internal carotid artery restenosis treated with angioplasty 10 weeks after initial hemorrhage.
尽管在动脉瘤治疗和血管痉挛管理方面取得了进展，但蛛网膜下腔出血后急性阶段的脑血管痉挛通常发生在出血后 3 天至 3 周之间，是与患者预后相关的发病率和死亡率的主要原因。尽管不完全了解，但在出血后即刻的患者中，脑血管痉挛已得到很好的描述。对于动脉瘤性蛛网膜下腔出血后延迟或进行性再狭窄以及由此导致的血管痉挛，描述则较少。我们报告了一例在初始出血后 10 周接受血管成形术治疗的延迟性进行性颈内动脉虹吸段再狭窄病例。
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