通过手动压迫颈总动脉对颅内动脉瘤弹簧圈栓塞术中动脉瘤破裂进行术中破裂处理。
Intraprocedural rupture management for intracranial aneurysm rupture during coil embolization by manual common carotid artery compression.
作者信息
Chang Chul-Hoon, Jung Young-Jin, Kim Jong-Hoon
机构信息
Department of Neurosurgery, College of Medicine, Yeungnam University, 170 Hyeonchung Ro, Namgu, Daegu, South Korea.
Department of Neurosurgery, College of Medicine, Yeungnam University, 170 Hyeonchung Ro, Namgu, Daegu, South Korea.
出版信息
J Clin Neurosci. 2019 Apr;62:273-276. doi: 10.1016/j.jocn.2018.12.025. Epub 2019 Jan 3.
We report cases of intraprocedural rupture (IPR) management of a ruptured intracranial aneurysm during coil embolization by manual common carotid artery (CCA) compression. Manual CCA compression and aneurysm obliteration were performed simultaneously at the point of rupture. Early IPR detection followed by simultaneous endovascular coiling and manual CCA compression may lead to a benign clinical course in most cases.
我们报告了在颅内动脉瘤弹簧圈栓塞过程中，通过手动压迫颈总动脉（CCA）处理术中破裂（IPR）的病例。在破裂点同时进行手动CCA压迫和动脉瘤闭塞。早期检测到IPR，随后同时进行血管内栓塞和手动CCA压迫，在大多数情况下可能会导致良性临床病程。
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