经口颈动脉超声评估神经介入治疗期间医源性血管外渗和颅外颈内动脉夹层：病例报告
Iatrogenic Extravasation and Extracranial ICA Dissection during Neurointervention Evaluated by Transoral Carotid Ultrasonography: Case Report.
作者信息
Itabashi Ryo, Furui Eisuke, Suzuki Ichiro, Kikuchi Toshio, Kondo Ryushi, Matsumoto Yasushi, Fujiwara Satoru
机构信息
Department of Stroke Neurology, Kohnan Hospital, Sendai, Miyagi, Japan.
Department of Neuroendovascular Therapy, Kohnan Hospital, Sendai, Miyagi, Japan.
出版信息
J Vasc Interv Neurol. 2018 Jun;10(1):66-67.
We described an 88-year-old woman presented with large aneurysm on the carotid siphon of the right internal carotid artery (ICA). Digital subtraction angiography showed extravasation from the distal cervical segment of the right ICA due to positioning a guiding catheter for intra-aneurysmal coil embolization. Transoral carotid ultrasonography (TOCU) showed arrested bleeding and a pseudolumen in the distal cervical segment of the right ICA. We originally described that TOCU was useful for evaluating iatrogenic extravasation and extracranial ICA dissection during neurointervention.
我们描述了一位88岁女性，其右侧颈内动脉（ICA）虹吸部出现大动脉瘤。数字减影血管造影显示，在为动脉瘤内线圈栓塞放置引导导管时，右侧颈内动脉颈段远端出现造影剂外渗。经口颈动脉超声检查（TOCU）显示右侧颈内动脉颈段远端出血停止且存在假腔。我们最初描述了TOCU在评估神经介入期间医源性造影剂外渗和颅外颈内动脉夹层方面是有用的。
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