Zhang Xiaoxi, Lv Nan, Wang Chi, Cao Wei, Liu Jianmin, Huang Qinghai
Department of Neurosurgery, Changhai Hospital, Second Military Medical University, Shanghai, China.
BMJ Case Rep. 2016 Jun 21;2016:bcr2016012268. doi: 10.1136/bcr-2016-012268.
We report a rare case of recurrence of a large intracavernous aneurysm after angiography proved complete occlusion. The aneurysm was treated by a combination of a Tubridge flow diverter and coils, and balloon angioplasty, after flow diverter devices deployment for parent vessel stenosis. Six month angiographic follow-up demonstrated complete occlusion. Unfortunately, obvious aneurysm recurrence was confirmed on 2 year angiographic follow-up. The probable mechanism of recurrence was analyzed.
我们报告了一例罕见的海绵窦内大动脉瘤在血管造影证实完全闭塞后复发的病例。该动脉瘤在血流导向装置用于治疗载瘤血管狭窄后,采用Tubridge血流导向装置和弹簧圈联合治疗,并进行了球囊血管成形术。6个月的血管造影随访显示完全闭塞。不幸的是,在2年的血管造影随访中证实动脉瘤明显复发。分析了复发的可能机制。