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警惕隐匿性动脉瘤!

Beware of the aneurysm in stealth mode!

作者信息

Swarnkar Amar, Ramaswamy Raghu, Padalino David J, Deshaies Eric M

机构信息

Department of Radiology.

Department of Neurosurgery, SUNY Upstate Medical University, Syracuse, NY, USA

出版信息

Neuroradiol J. 2015 Feb;28(1):76-9. doi: 10.15274/NRJ-2014-10109.

Abstract

Endovascular treatment is one of the treatment options considered for acute stroke in many primary stroke centers. Outcome from such treatment can be very successful and gratifying if the intervention is timely and patient selection is appropriate. There are however certain pitfalls that need to be kept in mind which, if the interventionalist is not careful, can adversely affect the outcome. We describe such a case where the patient presented with acute stroke due to basilar artery thrombosis but also had an aneurysm in the affected vessel. We also make certain recommendations to reduce the chances of complications arising during treatment of patients with such a condition.

摘要

血管内治疗是许多初级卒中中心针对急性卒中所考虑的治疗选择之一。如果干预及时且患者选择恰当,这种治疗的效果可能非常成功且令人满意。然而,有一些陷阱需要牢记,如果介入医生不小心,可能会对治疗结果产生不利影响。我们描述了这样一个病例,患者因基底动脉血栓形成而出现急性卒中,但在受累血管中也有一个动脉瘤。我们还提出了一些建议,以减少在治疗此类患者过程中出现并发症的几率。

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