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颅内颈内动脉创伤性夹层动脉瘤的血管内重建术

Pipeline endovascular reconstruction of traumatic dissecting aneurysms of the intracranial internal carotid artery.

作者信息

Prasad Vikram, Gandhi Dheeraj, Jindal Gaurav

机构信息

Department of Diagnostic Radiology and Nuclear Medicine, Division of Interventional Neuroradiology, University of Maryland Medical Center, Baltimore, Maryland, USA.

出版信息

BMJ Case Rep. 2013 Dec 12;2013:bcr2013010899. doi: 10.1136/bcr-2013-010899.

Abstract

A 22-year-old woman was involved in a motor vehicle collision resulting in multiple facial fractures and extensive internal carotid artery (ICA) injury including a right carotid-cavernous fistula, complex dissection flap and dissecting aneurysms. Endovascular coil embolization was initially performed to treat the cavernous carotid fistula and then again on two separate occasions to treat expanding dissecting aneurysms. Parent vessel reconstruction of the right ICA was subsequently performed with the Pipeline embolization device, resulting in complete anatomical restoration of this vessel.

摘要

一名22岁女性遭遇机动车碰撞,导致多处面部骨折以及颈内动脉(ICA)广泛损伤,包括右侧颈内动脉海绵窦瘘、复杂的夹层瓣和夹层动脉瘤。最初进行了血管内弹簧圈栓塞术以治疗海绵窦颈动脉瘘,之后又在两个不同场合进行该操作以治疗不断扩大的夹层动脉瘤。随后使用Pipeline栓塞装置对右侧颈内动脉进行了母血管重建,使该血管实现了完全的解剖学修复。

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