支架辅助夹闭术治疗复杂颈内动脉颅内动脉瘤
Stent-Assisted Clip Placement for Complex Internal Carotid Artery Intracranial Aneurysms.
作者信息
Qureshi Adnan I, Chughtai Morad, Khan Asif A, Suri M Fareed K, Sherr Gregory T
机构信息
Zeenat Qureshi Stroke Institute, St. Cloud, MN, USA.
Zeenat Qureshi Stroke Institute, St. Cloud, MN, USA; Department of Neurosurgery, CentraCare Health, St. Cloud, MN, USA.
出版信息
J Vasc Interv Neurol. 2016 Jan;8(5):23-9.
BACKGROUND
We report two procedures using a stent-assisted microsurgical clip placement to treat complex intracranial aneurysms originating from supraclinoid segment of the internal carotid artery.
CASE DESCRIPTIONS
In both procedures, primary clip placement was considered technically difficult due to either complex morphology or inferior protrusion of aneurysm fundus within the interclinoid space. A nitinol self-expanding stent was placed across the neck of the aneurysm either preoperatively or intraoperatively. Obliteration of aneurysm and patency of the artery was confirmed by angiography after clip placement.
CONCLUSION
Description of an integrated open microsurgical and endovascular approach and review of literature pertaining to considerations for treatment approach are discussed.
背景
我们报告了两种使用支架辅助显微外科夹闭术治疗起源于颈内动脉床突上段的复杂颅内动脉瘤的手术方法。
病例描述
在这两种手术中，由于动脉瘤形态复杂或瘤底在床突间间隙内突出不佳，初次夹闭术在技术上被认为具有难度。术前或术中在动脉瘤颈部放置镍钛诺自膨式支架。夹闭术后通过血管造影确认动脉瘤闭塞和动脉通畅。
结论
讨论了一种综合的开放显微外科和血管内治疗方法的描述以及与治疗方法考量相关的文献综述。
Zotero 插件