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搏动性水疱样动脉瘤的血管造影表现。

Angiographic Appearance of Pulsatile Blister Aneurysm.

作者信息

Xu Ding, Xie Xiaodong, You Chao

机构信息

Department of Neurosurgery, West China Hospital, Sichuan University, Sichuan, China.

Department of Neurosurgery, West China Hospital, Sichuan University, Sichuan, China.

出版信息

World Neurosurg. 2018 Feb;110:371-372. doi: 10.1016/j.wneu.2017.11.085. Epub 2017 Nov 23.

DOI:10.1016/j.wneu.2017.11.085
PMID:29174231
Abstract

A male with detected subarachnoid hemorrhage was admitted to our center. During the first angiography, a pulsatile blister aneurysm was revealed and the aneurysm was also noticeably enlarged during the surveillance angiography. The patient accepted balloon-assisted clipping successfully. Blister aneurysms are at a high risk of rupture, high risk of regrowth, and need for multimodal management.

摘要

一名被检测出患有蛛网膜下腔出血的男性患者被收治入我们中心。在首次血管造影检查时,发现了一个搏动性水泡状动脉瘤,并且在后续的监测血管造影检查中该动脉瘤也明显增大。该患者成功接受了球囊辅助夹闭术。水泡状动脉瘤破裂风险高、再生长风险高,且需要多模式治疗。

相似文献

1
Angiographic Appearance of Pulsatile Blister Aneurysm.搏动性水疱样动脉瘤的血管造影表现。
World Neurosurg. 2018 Feb;110:371-372. doi: 10.1016/j.wneu.2017.11.085. Epub 2017 Nov 23.
2
Primary treatment of a blister-like aneurysm with an encircling clip graft: technical case report.使用环绕夹闭移植物对水泡样动脉瘤进行的初步治疗:技术病例报告。
Neurosurgery. 2006 Jul;59(1 Suppl 1):ONSE168; discussion ONSE168. doi: 10.1227/01.neu.0000220058.17532.b5.
3
Pipeline flow diversion of ruptured blister aneurysms of the supraclinoid carotid artery using a single-device strategy.采用单装置策略对床突上段颈内动脉破裂泡状动脉瘤进行血管内分流
Neurosurg Focus. 2017 Jun;42(6):E11. doi: 10.3171/2017.3.FOCUS1757.
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Acute extracranial-intracranial bypass using a radial artery graft along with trapping of a ruptured blood blister–like aneurysm of the internal carotid artery. Clinical article.急性颅外-颅内旁路手术采用桡动脉移植物,同时夹闭颈内动脉破裂的血疱样动脉瘤。临床文章。
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5
[Blood blister-like aneurysm on the posterior wall of the internal carotid artery causing subarachnoid hemorrhage: a case report].
No Shinkei Geka. 2013 Mar;41(3):229-34.
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Bypass Surgeries in the Treatment of Cerebral Aneurysms.旁路手术治疗脑动脉瘤
Acta Neurochir Suppl. 2016;123:57-64. doi: 10.1007/978-3-319-29887-0_8.
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Arterial suturing followed by clip reinforcement with circumferential wrapping for blister-like aneurysms of the internal carotid artery.对颈内动脉水泡样动脉瘤进行动脉缝合,随后用环形包裹进行夹子加固。
Surg Neurol. 2006 Oct;66(4):424-8; discussion 428-9. doi: 10.1016/j.surneu.2006.01.024. Epub 2006 Jul 21.
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Retrograde Suction Decompression Through Direct Puncture of the Common Carotid Artery for Paraclinoid Aneurysm.经颈总动脉直接穿刺逆行抽吸减压治疗鞍旁动脉瘤
Acta Neurochir Suppl. 2016;123:51-6. doi: 10.1007/978-3-319-29887-0_7.
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Internal carotid artery dorsal wall aneurysm with configurational change: Are they all false aneurysms?伴有形态改变的颈内动脉后壁动脉瘤:它们都是假性动脉瘤吗?
Surg Neurol. 2006 Oct;66(4):441-3; discussion 443. doi: 10.1016/j.surneu.2005.12.030. Epub 2006 Jul 21.

引用本文的文献

1
Slip Clip after successful microsurgery of a blister aneurysm: Should bypass always be the first option?水泡状动脉瘤显微手术成功后使用夹闭:搭桥是否始终应作为首选方案?
J Cerebrovasc Endovasc Neurosurg. 2021 Sep;23(3):245-250. doi: 10.7461/jcen.2021.E2020.12.001. Epub 2021 Sep 13.
2
Anterior Communicating Artery Aneurysm with a Peculiar Angiographic Appearance: A Case Study.具有特殊血管造影表现的前交通动脉瘤:病例报告
NMC Case Rep J. 2021 Apr 2;8(1):57-61. doi: 10.2176/nmccrj.cr.2020-0036. eCollection 2021 Apr.
3
Comparison of clinical and histopathological characteristics of short-term progressive and non-progressive blood blister-like aneurysms.
比较短期进展性和非进展性血疱样动脉瘤的临床和组织病理学特征。
Acta Neurochir (Wien). 2021 Apr;163(4):1167-1179. doi: 10.1007/s00701-020-04697-9. Epub 2021 Jan 11.