Chen Gang, Li Jun, Xu Guozheng, Qin Shangzhen, Gong Jie, Yang Ming, Pan Li, Zhang Ge, Ma Lianting
Neurosurgical Institute of PLA, Department of Neurosurgery, Wuhan General Hospital, Guangzhou Command of PLA, Wuhan, China.
Turk Neurosurg. 2013;23(6):716-20. doi: 10.5137/1019-5149.JTN.7424-12.1.
The current study aims to explore the diagnosis and treatment of traumatic internal carotid artery pseudoaneurysm (TICAP) primarily manifested by repeated epistaxis.
Clinical data from 31 patients suffering from repeated epistaxis after trauma were retrospectively analyzed. All patients were diagnosed definitely with pseudoaneurysm at the internal carotid cavernous sinus segment by digital subtract angiography (DSA).
Endovascular interventional therapy was performed for all the patients. 20 patients received direct occlusion of the parent artery by embolization with detachable balloons and the rest received covered stent implantation to cover the parent arterial tear. No death occurred. Epistaxis did not recur after operation.
DSA is the gold standard for TICAP diagnosis. Endovascular interventional therapy is the treatment of choice for TICAP. Compared with internal carotid artery occlusion with balloons, covered stent implantation is a more valuable endovascular intervention method.
本研究旨在探讨以反复鼻出血为主要表现的创伤性颈内动脉假性动脉瘤（TICAP）的诊断与治疗。
回顾性分析31例创伤后反复鼻出血患者的临床资料。所有患者均通过数字减影血管造影（DSA）明确诊断为颈内动脉海绵窦段假性动脉瘤。
所有患者均接受了血管内介入治疗。20例患者采用可脱性球囊栓塞术直接闭塞载瘤动脉，其余患者接受覆膜支架植入术以覆盖动脉撕裂处。无死亡病例发生。术后鼻出血未复发。
DSA是TICAP诊断的金标准。血管内介入治疗是TICAP的首选治疗方法。与球囊闭塞颈内动脉相比，覆膜支架植入术是一种更有价值的血管内介入方法。
