使用Pipeline栓塞装置对颈内动脉破裂水泡状动脉瘤进行早期血管造影闭塞作为主要治疗选择。
Early angiographic occlusion of ruptured blister aneurysms of the internal carotid artery using the Pipeline Embolization Device as a primary treatment option.
作者信息
Hu Yin C, Chugh Chandril, Mehta Hasit, Stiefel Michael F
机构信息
NeuroVascular Institute, Westchester Medical Center, Valhalla, New York, USA Department of Neurosurgery, New York Medical College, Valhalla, New York, USA Department of Neuroradiology, Westchester Medical Center, New York Medical College, Valhalla, New York, USA.
NeuroVascular Institute, Westchester Medical Center, Valhalla, New York, USA.
出版信息
J Neurointerv Surg. 2014 Dec;6(10):740-3. doi: 10.1136/neurintsurg-2013-010937. Epub 2013 Dec 2.
BACKGROUND
Data on the timing, durability and occlusion rate of treating ruptured blister cerebral aneurysms using the Pipeline Embolization Device (PED) are limited.
CLINICAL PRESENTATION
Three patients who presented with subarachnoid hemorrhages from ruptured blister aneurysms of the internal carotid arteries were treated with the PED.
RESULTS
Aneurysmal occlusion with reconstruction of the parent vessels occurred angiographically using the PED as a primary treatment modality. All three patients were treated successfully without immediate or delayed complications and remained neurologically intact during the 6-month follow-up period.
CONCLUSIONS
Complete occlusion of a ruptured blister aneurysm can occur immediately after PED placement. In ruptured blister aneurysms with contrast stagnation after PED treatment, early angiographic occlusion was confirmed as early as 6 weeks and continued with medium-term durability.
背景
关于使用Pipeline栓塞装置（PED）治疗破裂性水泡状脑动脉瘤的时机、持久性和闭塞率的数据有限。
临床表现
3例因颈内动脉破裂性水泡状动脉瘤导致蛛网膜下腔出血的患者接受了PED治疗。
结果
以PED作为主要治疗方式，血管造影显示动脉瘤闭塞且载瘤血管得以重建。所有3例患者均成功接受治疗，无即刻或延迟并发症，在6个月的随访期内神经功能保持完好。
结论
PED置入后可立即实现破裂性水泡状动脉瘤的完全闭塞。在PED治疗后有造影剂滞留的破裂性水泡状动脉瘤中，血管造影早期闭塞最早在6周时得到证实，并具有中期持久性。
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