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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.

DOI:10.1093/jscr/rjx105
PMID:28630664
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5470092/
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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/6c87166725ff/rjx105f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/68be737ff15d/rjx105f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/546bc48cca56/rjx105f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/40656ab25dc6/rjx105f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/6c87166725ff/rjx105f04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/68be737ff15d/rjx105f01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/546bc48cca56/rjx105f02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/40656ab25dc6/rjx105f03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/38f9/5470092/6c87166725ff/rjx105f04.jpg

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本文引用的文献

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Surgical Management of Intracranial Artery Dissection.颅内动脉夹层的手术治疗
Neurol Med Chir (Tokyo). 2016 Sep 15;56(9):517-23. doi: 10.2176/nmc.ra.2015-0312. Epub 2016 Apr 11.
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Effect of coil packing proximal to the dilated segment on postoperative medullary infarction and prognosis following internal trapping for ruptured vertebral artery dissection.扩张段近端线圈填塞对椎动脉破裂夹层内圈套术后髓质梗死及预后的影响
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Deconstructive and Reconstructive Techniques in Treatment of Vertebrobasilar Dissecting Aneurysms: A Systematic Review and Meta-Analysis.
Endovascular reconstructive treatment using a fill-and-tunnel technique for a fusiform vertebral artery dissecting aneurysm with ipsilateral dominance.采用填充-隧道技术对具有同侧优势的梭形椎动脉夹层动脉瘤进行血管内重建治疗。
Interv Neuroradiol. 2019 Oct;25(5):539-547. doi: 10.1177/1591019919846616. Epub 2019 May 14.
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Dissecting Aneurysm of Vertebral Artery Involving the Origin of Posteroinferior Cerebellar Artery Treated with Retrograde Stent Placement and Coil Embolization in the Era of Flow Diverter.在血流导向装置时代，采用逆行支架置入和弹簧圈栓塞治疗累及小脑后下动脉起源的椎动脉夹层动脉瘤
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椎基底动脉夹层动脉瘤治疗中的解构与重建技术：一项系统评价和荟萃分析
AJNR Am J Neuroradiol. 2015 Jul;36(7):1293-8. doi: 10.3174/ajnr.A4360. Epub 2015 May 7.
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Patients with subarachnoid haemorrhage from vertebrobasilar dissection: treatment with stent-in-stent technique.椎基底动脉夹层导致蛛网膜下腔出血的患者：采用支架套叠技术进行治疗。
Neuroradiology. 2015 Jun;57(6):605-14. doi: 10.1007/s00234-015-1505-9. Epub 2015 Mar 5.
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Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent-assisted coiling.采用支架置入或支架辅助弹簧圈栓塞术对颅内椎动脉夹层进行血管内治疗。
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