伴有持续性三叉动脉的海绵窦瘘或海绵状动脉瘤的治疗：三例报告
Treatment of carotid cavernous fistulae or cavernous aneurysms associated with a persistent trigeminal artery: report of three cases.
作者信息
Debrun G M, Davis K R, Nauta H J, Heros R E, Ahn H S
机构信息
Department of Radiology, Johns Hopkins Medical Institutions, Baltimore, MD 21205.
出版信息
AJNR Am J Neuroradiol. 1988 Jul-Aug;9(4):749-55.
Abstract
One case of traumatic carotid cavernous fistula and two cases of cavernous aneurysm associated with a persistent trigeminal artery are reported. Since a significant rate of infarctions or hemorrhages in the vertebrobasilar territory is associated with PTA, we prefer to permanently occlude the PTA during treatment of a carotid cavernous fistula or a cavernous aneurysm if the trigeminal artery can be sacrificed without jeopardizing the basilar circulation. These three patients were cured without complications. The internal carotid artery could be preserved in only one case.
摘要
报告了1例创伤性颈动脉海绵窦瘘和2例与持续性三叉动脉相关的海绵状动脉瘤。由于椎基底动脉区域梗死或出血的发生率较高与持续性三叉动脉有关，因此如果在不危及基底循环的情况下可以牺牲三叉动脉，我们倾向于在治疗颈动脉海绵窦瘘或海绵状动脉瘤时永久性闭塞持续性三叉动脉。这3例患者均治愈，无并发症。仅1例保留了颈内动脉。
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