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分期血管内闭塞伴创伤性假性动脉瘤的后交通动脉-海绵窦瘘和基底动脉-海绵窦瘘:技术考量与文献综述

Staged Endovascular Occlusion of a Posterior Communicating Artery-Cavernous Sinus Fistula and a Basilar Artery-Cavernous Sinus Fistula Associated with Traumatic Pseudoaneurysms: Technical Consideration and Literature Review.

作者信息

Ko Hak Cheol, Koh Jun Seok, Shin Hee Sup, Lee Seung Hwan, Ryu Chang Woo

机构信息

Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Gangdong-gu, Seoul, Korea.

Department of Neurosurgery, Kyung Hee University Hospital at Gangdong, Gangdong-gu, Seoul, Korea.

出版信息

World Neurosurg. 2017 Nov;107:1051.e7-1051.e11. doi: 10.1016/j.wneu.2017.08.070. Epub 2017 Aug 24.

Abstract

BACKGROUND

Traumatic injury of the posterior communicating artery or the basilar artery causing arteriovenous fistulae is rare.

CASE DESCRIPTION

Here we report an unusual case of the coincidence of a posterior communicating artery-cavernous sinus fistula and a basilar artery-cavernous sinus fistula associated with traumatic pseudoaneurysms of the posterior communicating and basilar arteries. The fistulas and pseudoaneurysms were obliterated completely after staged endovascular surgery via a transarterial and transvenous route.

CONCLUSIONS

To our knowledge, this is the first such report worldwide.

摘要

背景

后交通动脉或基底动脉创伤性损伤导致动静脉瘘极为罕见。

病例描述

在此,我们报告一例罕见病例,患者同时患有后交通动脉-海绵窦瘘和基底动脉-海绵窦瘘,并伴有后交通动脉和基底动脉的创伤性假性动脉瘤。通过经动脉和经静脉途径进行分期血管内手术后,瘘和假性动脉瘤被完全闭塞。

结论

据我们所知,这是全球首例此类报告。

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