管道栓塞装置作为颈内动脉假性动脉瘤的主要治疗方法。
Pipeline embolization device as primary treatment for cervical internal carotid artery pseudoaneurysms.
作者信息
Wang Arthur, Santarelli Justin, Stiefel Michael F
机构信息
Department of Neurosurgery, New York Medical College, Valhalla, New York, USA.
Department of Neurosurgery, New York Medical College, Valhalla, New York, USA; NeuroVascular Institute, Westchester Medical Center, Valhalla, New York, USA.
出版信息
Surg Neurol Int. 2017 Jan 19;8:3. doi: 10.4103/2152-7806.198730. eCollection 2017.
BACKGROUND
Limited data exists on the durability and occlusion rate of treating extracranial cervical internal carotid artery pseudoaneurysms using the pipeline embolization device (PED) flow-diverting stent.
METHODS
Three patients presenting with dissecting cervical internal carotid artery pseudoaneurysms were treated with the PED as the sole treatment modality.
RESULTS
In all three patients, successful aneurysmal occlusion and parent vessel reconstruction occurred on immediate angiography and continued on 6-month follow-up. No immediate or delayed complications were seen, and all patients remained neurologically intact.
CONCLUSION
Complete aneurysmal occlusion and long-term angiographic occlusion can occur after PED treatment of cervical carotid pseudoaneurysms. In select patients, the PED can be a suitable primary treatment modality with good neurological outcome for cervical carotid pseudoaneurysms.
背景
关于使用Pipeline栓塞装置（PED）血流导向支架治疗颅外颈内动脉假性动脉瘤的耐久性和闭塞率的数据有限。
方法
3例表现为颈内动脉夹层假性动脉瘤的患者接受了PED单一治疗。
结果
所有3例患者在即刻血管造影时均实现了动脉瘤成功闭塞和母血管重建，并在6个月随访时持续保持。未观察到即刻或延迟并发症，所有患者神经功能均保持完好。
结论
PED治疗颈内动脉假性动脉瘤后可实现动脉瘤完全闭塞和长期血管造影闭塞。对于部分患者，PED可为颈内动脉假性动脉瘤提供合适的初始治疗方式，并带来良好的神经功能预后。
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