Ohshima Tomotaka, Tajima Hayato, Yamamoto Taiki, Goto Shunsaku, Nishizawa Toshihisa, Shimato Shinji, Kato Kyozo
Department of Neurosurgery, Kariya Toyota General Hospital.
No Shinkei Geka. 2015 Feb;43(2):143-6. doi: 10.11477/mf.1436202971.
We report a case of acute in-stent occlusion during a stent-assisted coil embolization of a communicating artery aneurysm.
A 58-year-old man presented with a regrowth of an anterior communicating artery aneurysm one year after the initial coil embolization. An acute in-stent occlusion occurred during coil filling through the stent strut. We performed a successful recanalization of the stent using antithrombotic agents.
Acute in-stent occlusion is a possible complication of stent-assisted coil embolization of aneurysms, particularly in narrow parent arteries. Our patient was recovered using antithrombotic drugs and did not present any major ischemic symptoms.
我们报告一例在使用支架辅助弹簧圈栓塞交通动脉瘤过程中发生急性支架内闭塞的病例。
一名58岁男性在初次弹簧圈栓塞术后一年出现前交通动脉瘤复发。在通过支架网孔填充弹簧圈时发生急性支架内闭塞。我们使用抗血栓药物成功使支架再通。
急性支架内闭塞是动脉瘤支架辅助弹簧圈栓塞术可能出现的并发症,尤其是在母动脉狭窄的情况下。我们的患者使用抗血栓药物后康复,未出现任何严重缺血症状。