冠状动脉支架移植物在颈动脉破裂治疗中的应用
Coronaric stent-graft deployment in the treatment of carotid blowout.
作者信息
Pampana E, Gandini R, Stefanini M, Fabiano S, Chiaravalloti A, Morosetti D, Spano S, Simonetti G
机构信息
Department of Diagnostic Imaging, Molecular Imaging, Interventional Radiology and Radiotherapy, Tor Vergata University of Rome, Rome, Italy.
出版信息
Interv Neuroradiol. 2011 Dec;17(4):490-4. doi: 10.1177/159101991101700416. Epub 2011 Dec 16.
"Carotid blowout syndrome" is defined as a hemorrhage caused by rupture of the carotid artery and its branches, and may be a severe complication of rhinopharyngeal carcinoma. This study aimed to highlight the usefulness and versatility of endovascular stent-graft placement as a rescue treatment in life-threatening carotid blowout syndrome. We describe the unconventional use of a 6 × 5 mm balloon-expandable coronaric covered stent in a patient with a diagnosis of spinocellular rhinopharyngeal carcinoma, followed by carotid blowout syndrome. Although long-term follow-up is needed to assess the eventuality of bleeding recurrence, the immediate clinical results were satisfactory.
“颈动脉破裂综合征”被定义为由颈动脉及其分支破裂引起的出血，可能是鼻咽癌的一种严重并发症。本研究旨在强调血管内支架移植物置入术作为危及生命的颈动脉破裂综合征挽救治疗方法的有效性和多功能性。我们描述了一名诊断为棘细胞鼻咽癌并随后出现颈动脉破裂综合征的患者非常规使用6×5mm球囊扩张式冠状动脉覆膜支架的情况。尽管需要长期随访来评估出血复发的可能性，但即刻临床结果令人满意。
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