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[一例前交通动脉动脉瘤在弹簧圈栓塞过程中发生急性支架内闭塞的病例]

[Case of an anterior communicating artery aneurysm with acute in-stent occlusion during coil embolization].

作者信息

Ohshima Tomotaka, Tajima Hayato, Yamamoto Taiki, Goto Shunsaku, Nishizawa Toshihisa, Shimato Shinji, Kato Kyozo

机构信息

Department of Neurosurgery, Kariya Toyota General Hospital.

出版信息

No Shinkei Geka. 2015 Feb;43(2):143-6. doi: 10.11477/mf.1436202971.

Abstract

PURPOSE

We report a case of acute in-stent occlusion during a stent-assisted coil embolization of a communicating artery aneurysm.

CASE PRESENTATION

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.

CONCLUSIONS

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.

摘要

目的

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。

病例介绍

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。

结论

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。

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