Ghali Michael George Zaki, Binning Mandy
Department of Neurosurgery, Houston Methodist Hospital, Houston, TX, USA.
Department of Neurosurgery, Hahnemann University Hospital, Philadelphia, PA, USA.
Asian J Neurosurg. 2019 Nov 25;14(4):1058-1062. doi: 10.4103/ajns.AJNS_119_18. eCollection 2019 Oct-Dec.
Petrous internal carotid artery (ICA) aneurysms are rare and pose a unique management dilemma. They are most commonly fusiform. They are difficult to treat surgically and typically not amenable to selective aneurysmal obliteration. The advent of flow diverters, such as the Pipeline endovascular device, has offered a new approach to these historically challenging lesions. The unique utility of flow diversion in treatment of petrous ICA aneurysms is reviewed and discussed.
岩骨段颈内动脉(ICA)动脉瘤较为罕见,且在治疗上面临独特的困境。它们最常见的形态是梭形。手术治疗难度大,通常不适用于选择性动脉瘤闭塞术。血流导向装置的出现,如Pipeline血管内装置,为这些历来具有挑战性的病变提供了一种新的治疗方法。本文对血流导向在岩骨段颈内动脉动脉瘤治疗中的独特作用进行了综述和讨论。