Amenta Peter S, Starke Robert M, Jabbour Pascal M, Tjoumakaris Stavropoula I, Gonzalez Luis Fernando, Rosenwasser Robert H, Pribitkin Edmund A, Dumont Aaron S
Department of Neurological Surgery, Thomas Jefferson University, Philadelphia, Pennsylvania.
Surg Neurol Int. 2012;3:160. doi: 10.4103/2152-7806.105099. Epub 2012 Dec 26.
Traumatic intracranial pseudoaneurysms remain one of the most difficult vascular lesions to treat. In the case of traumatic pseudoaneurysms that may not be treated with parent vessel sacrifice, some flow diversion strategy such as stent-assistance or use of a flow diversion device is usually necessary.
In this study we describe endovascular parent vessel wall-remodeling/endoluminal reconstruction and traumatic pseudoaneurysm thrombosis through the use of the Pipeline stent and review recent reports concerning indications, safety, and efficacy for alternative pathology.
Although currently not routinely employed in the treatment of traumatic pseudoaneurysms, the Pipeline stent may represent a safe and effective treatment alternative achieving complete endoluminal reconstruction of the damaged vessel wall.
创伤性颅内假性动脉瘤仍然是最难治疗的血管病变之一。对于那些不能通过牺牲载瘤血管来治疗的创伤性假性动脉瘤,通常需要一些血流导向策略,如支架辅助或使用血流导向装置。
在本研究中,我们描述了通过使用Pipeline支架进行血管内载瘤血管壁重塑/腔内重建以及创伤性假性动脉瘤血栓形成的情况,并回顾了有关替代病变的适应症、安全性和疗效的近期报告。
尽管目前Pipeline支架在创伤性假性动脉瘤的治疗中并非常规使用,但它可能是一种安全有效的治疗选择,能够实现受损血管壁的完全腔内重建。