Giorgianni Andrea, Pellegrino Carlo, Minotto Renzo, Mercuri Anna, Frattini Lara, Baruzzi Fabio, Valvassori Luca
Departement of Neuroradiology, Ospedale di Circolo, Varese, Italy.
Departement of Neuroradiology, Ospedale di Circolo, Varese, Italy
Interv Neuroradiol. 2015 Feb;21(1):23-8. doi: 10.1177/1591019915575441.
The use of flow-diverter (FD) stents in recent years has positively changed the therapeutic approach to some vascular diseases, especially of certain types of aneurysms. This paper describes the case of a young patient after a major head trauma causing multiple skull fractures. The trauma occasioned two pseudoaneurysms from the A1 segment of the right anterior cerebral artery and from the A2 segment of the left anterior cerebral artery. Both lesions were treated with two Pipeline devices (ev3, Irvine, CA, USA) in two different sessions. The CT study and angiographic investigations performed in the following month showed a complete resolution of the post-traumatic pseudoaneurysmal lesions. Although the use of FD stents is described in the literature, particularly in the treatment of selected aneurysms, this paper shows good technical results in the use of these stents in cases of intracranial post-traumatic pseudoaneurysms with clinical improvement.
近年来，血流导向（FD）支架的应用积极地改变了某些血管疾病的治疗方法，尤其是某些类型的动脉瘤。本文描述了一名年轻患者在遭受严重头部创伤导致多处颅骨骨折后的病例。此次创伤致使右侧大脑前动脉A1段和左侧大脑前动脉A2段出现两个假性动脉瘤。在两个不同的阶段，使用了两个Pipeline装置（美国加利福尼亚州欧文市ev3公司生产）对这两个病变进行治疗。在接下来的一个月进行的CT研究和血管造影检查显示，创伤后假性动脉瘤病变完全消退。尽管文献中描述了FD支架的使用，特别是在治疗特定动脉瘤方面，但本文显示了在颅内创伤后假性动脉瘤病例中使用这些支架取得的良好技术效果以及临床改善情况。
