Johnson Andrew Kelly, Gerard Carter S, Lopes Demetrius Klee
Department of Neurological Surgery, Rush University Medical Center, Chicago, Illinois, USA.
BMJ Case Rep. 2013 Jun 3;2013:bcr2013010701. doi: 10.1136/bcr-2013-010701.
Treating dissections and dissecting aneurysms requires maintenance of flow through the true lumen and exclusion of the false lumen from the circulation. A dissecting aneurysm of the vertebral artery presented with both a true and false lumen within the aneurysmal sac. Stenting of the true lumen followed by coil embolization of both lumens was performed. Management options and decision-making are discussed for this unique situation.
治疗夹层和夹层动脉瘤需要维持真腔内的血流，并将假腔排除在循环之外。一例椎动脉夹层动脉瘤在瘤腔内同时存在真腔和假腔。对真腔进行支架置入，随后对两个腔进行弹簧圈栓塞。针对这种特殊情况讨论了治疗选择和决策制定。
