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治疗小脑后下动脉动脉瘤时偶然发现双主动脉弓:从股动脉入路转换为桡动脉入路。

Incidentally Found Double Aortic Arch While Treating Posterior Inferior Cerebellar Artery Aneurysm: Conversion from Femoral to Radial Artery Access.

作者信息

Patel Mayank, Iwananga Joe, Bentley Josh, Wang Bill H, Patel Akil, Tubbs R Shane, Monteith Steve

机构信息

Seattle Science Foundation, Seattle, Washington, USA.

Seattle Science Foundation, Seattle, Washington, USA.

出版信息

World Neurosurg. 2018 Aug;116:1-4. doi: 10.1016/j.wneu.2018.04.142. Epub 2018 Apr 28.

DOI:10.1016/j.wneu.2018.04.142
PMID:29709754
Abstract

BACKGROUND

Asymptomatic double aortic arches are a unique occurrence.

CASE DESCRIPTION

An incidental finding of a double aortic arch in an elderly male was discovered during workup of a transient ischemic attack. The following case presentation details an effective treatment approach in cerebrovascular stenting in a patient with variant aortic arch anatomy. The initial diagnostic cerebral angiogram was performed via transfemoral approach and was quite challenging.

CONCLUSIONS

Faced with challenging anatomy, the radial artery approach is a viable option when navigating into the cerebrovascular anatomy for stenting when proximal variants such as a double aortic arch are identified.

摘要

背景

无症状双主动脉弓是一种独特的情况。

病例描述

在对一名老年男性短暂性脑缺血发作进行检查时,偶然发现了双主动脉弓。以下病例报告详细介绍了一名具有变异主动脉弓解剖结构患者脑血管支架置入的有效治疗方法。最初的诊断性脑血管造影通过经股动脉途径进行,颇具挑战性。

结论

面对具有挑战性的解剖结构,当识别出近端变异如双主动脉弓时,桡动脉途径是进入脑血管解剖结构进行支架置入的可行选择。

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颈动脉支架置入术治疗偶然发现的双主动脉弓患者:一例报告。
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