• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

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.

DOI:10.15274/NRJ-2014-10109
PMID:25924178
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4757125/
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。

相似文献

1
Beware of the aneurysm in stealth mode!警惕隐匿性动脉瘤!
Neuroradiol J. 2015 Feb;28(1):76-9. doi: 10.15274/NRJ-2014-10109.
2
[Interventional endovascular therapy (stenting) for residual stenosis after lysis of the basilar artery].
Nervenarzt. 2005 Dec;76(12):1488, 1490-2, 1494. doi: 10.1007/s00115-005-1958-x.
3
[Thrombectomy gave good results in basilar thrombosis. Prolonged time window for the intervention is proposed].
Lakartidningen. 2014;111(27-28):1188-90.
4
Distal posterior inferior cerebellar artery aneurysm with basilar artery stenosis. Case illustration.
J Neurosurg. 2003 Sep;99(3):609. doi: 10.3171/jns.2003.99.3.0609.
5
Endovascular Recanalization for Nonacute Intracranial Vertebral Artery Occlusion According to a New Classification.基于新分类法的非急性颅内椎动脉闭塞的血管内再通治疗
Stroke. 2020 Nov;51(11):3340-3343. doi: 10.1161/STROKEAHA.120.030440. Epub 2020 Aug 25.
6
Reconstructive endovascular treatment of vertical stenosis associated with adjacent aneurysm at the same arterial anatomic segment.对同一动脉解剖节段相邻动脉瘤相关的垂直狭窄进行重建性血管内治疗。
J Stroke Cerebrovasc Dis. 2014 Mar;23(3):576-9. doi: 10.1016/j.jstrokecerebrovasdis.2013.04.020. Epub 2013 Jul 11.
7
Basilar artery endoprosthesis placement: rescue therapy for recurrent thrombosis.
J Neuroimaging. 2000 Jan;10(1):47-8. doi: 10.1111/jon200010147.
8
Safety and efficacy of intracranial stenting for acute ischemic stroke beyond 8 h of symptom onset.8 h 症状发作后颅内支架置入治疗急性缺血性脑卒中的安全性和有效性。
J Neurointerv Surg. 2012 Mar;4(2):94-100. doi: 10.1136/neurintsurg-2011-010022. Epub 2011 Apr 28.
9
De novo basilar artery aneurysm formation after placement of a Wingspan stent.Wingspan 支架置入后新发基底动脉动脉瘤形成。
Acta Neurochir (Wien). 2011 Nov;153(11):2147-50. doi: 10.1007/s00701-011-1112-4. Epub 2011 Aug 7.
10
Histological Examination of Trousseau Syndrome-Related Thrombus Retrieved Through Acute Endovascular Thrombectomy: Report of 2 Cases.通过急性血管内血栓切除术取出的与特鲁索综合征相关血栓的组织学检查:2例报告
J Stroke Cerebrovasc Dis. 2016 Dec;25(12):e227-e230. doi: 10.1016/j.jstrokecerebrovasdis.2016.08.041. Epub 2016 Oct 6.

引用本文的文献

1
A Concealed Intracranial Aneurysm Detected after Recanalization of an Occluded Vessel: A Case Report and Literature Review.闭塞血管再通后发现隐匿性颅内动脉瘤:病例报告及文献综述
Interv Neurol. 2016 Mar;4(3-4):90-5. doi: 10.1159/000443220. Epub 2016 Jan 6.

本文引用的文献

1
Visualization of a small hidden intracranial aneurysm during endovascular thrombectomy for acute MCA occlusion.急性大脑中动脉闭塞血管内取栓术中隐匿性小颅内动脉瘤的可视化。
J Vasc Interv Neurol. 2014 May;7(1):47-9.
2
Endovascular treatment for acute ischemic stroke--still unproven.急性缺血性卒中的血管内治疗——仍未得到证实。
N Engl J Med. 2013 Mar 7;368(10):952-5. doi: 10.1056/NEJMe1215730. Epub 2013 Feb 8.
3
Endovascular therapy after intravenous t-PA versus t-PA alone for stroke.血管内治疗联合静脉溶栓与单纯静脉溶栓治疗脑卒中的效果比较。
N Engl J Med. 2013 Mar 7;368(10):893-903. doi: 10.1056/NEJMoa1214300. Epub 2013 Feb 7.
4
Rescue forced-suction thrombectomy using the reperfusion catheter of the Penumbra System for thromboembolism during coil embolization of ruptured cerebral aneurysms.在破裂脑动脉瘤的线圈栓塞过程中,使用 Penumbra 系统的再灌注导管进行挽救性强制抽吸血栓切除术。
Neurosurgery. 2012 Mar;70(1 Suppl Operative):89-93; discussion 93-4. doi: 10.1097/NEU.0b013e31822fefc4.
5
Assessment of thrombus in acute middle cerebral artery occlusion using thin-slice nonenhanced Computed Tomography reconstructions.应用薄层非增强 CT 重建评估急性大脑中动脉闭塞的血栓。
Stroke. 2010 Aug;41(8):1659-64. doi: 10.1161/STROKEAHA.110.580662. Epub 2010 Jul 1.
6
Detection of thrombus in acute ischemic stroke: value of thin-section noncontrast-computed tomography.急性缺血性卒中血栓的检测:薄层非增强计算机断层扫描的价值
Stroke. 2005 Dec;36(12):2745-7. doi: 10.1161/01.STR.0000185720.03803.41. Epub 2005 Nov 3.
7
Thrombosed unruptured cerebral aneurysm causing brain infarction followed by subarachnoid hemorrhage--case report--.血栓形成的未破裂脑动脉瘤导致脑梗死,随后发生蛛网膜下腔出血——病例报告——
Neurol Med Chir (Tokyo). 2005 Sep;45(9):472-5. doi: 10.2176/nmc.45.472.
8
Internal carotid artery aneurysm visualized during successful endovascular treatment of carotid embolism.在成功进行颈动脉栓塞的血管内治疗过程中可视化的颈内动脉动脉瘤。
AJNR Am J Neuroradiol. 2000 Mar;21(3):546-8.