重叠支架辅助弹簧圈栓塞术治疗破裂性颅内椎动脉夹层动脉瘤
Overlapping stent-assisted coil embolization for a ruptured intracranial vertebral artery dissection.
作者信息
Asai Katsunori, Nakamura Hajime, Nishida Takeo, Morris Shayne, Sakaki Takayuki
机构信息
Department of Neurosurgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Neurosurgery, Hyogo Prefectural Nishinomiya Hospital, Hyogo, Japan.
出版信息
J Surg Case Rep. 2017 Jun 14;2017(6):rjx105. doi: 10.1093/jscr/rjx105. eCollection 2017 Jun.
Abstract
Ruptured intracranial vertebral artery dissection is a cause of non-traumatic subarachnoid hemorrhage. Urgent intervention should be considered to prevent fatal rebleeding. Endovascular parent artery occlusion, which is the initial treatment of choice, is not suitable for patients with a hypoplastic or occlusive contralateral vertebral artery. We report a case of ruptured vertebral artery dissection, which was successfully treated with double overlapping stent-assisted coiling.
摘要
颅内椎动脉破裂夹层是非创伤性蛛网膜下腔出血的一个病因。应考虑紧急干预以预防致命性再出血。血管内母动脉闭塞是首选的初始治疗方法，但不适用于对侧椎动脉发育不全或闭塞的患者。我们报告一例椎动脉破裂夹层病例，该病例通过双重重叠支架辅助弹簧圈栓塞成功治疗。
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