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颅外颈内动脉假性动脉瘤的血管内治疗:三例病例描述

Endovascular Treatment of Extracranial Internal Carotid Pseudoaneurysm: Description of Three Cases.

作者信息

Giorgianni Andrea, Pellegrino Carlo, Micieli Camilla, Mercuri Anna, Minotto Renzo, Baruzzi Fabio, Valvassori Luca

机构信息

Department of Neuroradiology, Circolo Varese Hospital, Varese, Italy.

Department of Radiology, Circolo Varese Hospital, Varese, Italy.

出版信息

Surg J (N Y). 2016 May 16;2(2):e15-e18. doi: 10.1055/s-0036-1584168. eCollection 2016 Apr.

Abstract

The aim of this study is to explore the possibility of endovascular treatment of internal carotid artery pseudoaneurysm (PSA). These lesions are difficult to treat with a surgical approach, especially if they are located extracranially and close to the skull base. Endovascular stent placement in symptomatic and unstable extracranial internal carotid PSA was found to be safe and effective. Depending on hemodynamic aspects, complete local exclusion of aneurysmal formation is achieved in few months. We present three patients with carotid dissection and PSA formation that have been successfully treated by stent placement.

摘要

本研究的目的是探讨颈内动脉假性动脉瘤(PSA)血管内治疗的可能性。这些病变采用手术方法难以治疗,特别是当它们位于颅外且靠近颅底时。已发现,对于有症状的、不稳定的颅外颈内动脉PSA进行血管内支架置入是安全有效的。根据血流动力学情况,在数月内即可实现动脉瘤形成部位的完全局部封堵。我们介绍3例因颈动脉夹层形成PSA并通过支架置入成功治疗的患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b666/5553467/3228ff5ee2e7/10-1055-s-0036-1584168-i1500032cr-1.jpg

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