血流导向治疗岩骨段颈内动脉瘤
Flow Diversion for the Treatment of Petrous Internal Carotid Artery Aneurysms.
作者信息
Ghali Michael George Zaki, Binning Mandy
机构信息
Department of Neurosurgery, Houston Methodist Hospital, Houston, TX, USA.
Department of Neurosurgery, Hahnemann University Hospital, Philadelphia, PA, USA.
出版信息
Asian J Neurosurg. 2019 Nov 25;14(4):1058-1062. doi: 10.4103/ajns.AJNS_119_18. eCollection 2019 Oct-Dec.
Abstract
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.
摘要
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。
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本文引用的文献
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A rare but morbid neurosurgical target: petrous aneurysms and their endovascular management in the stent/flow diverter era.一个罕见但病态的神经外科靶点：岩骨动脉瘤及其在支架/血流导向装置时代的血管内治疗。
J Neurointerv Surg. 2017 Apr;9(4):381-383. doi: 10.1136/neurintsurg-2016-012668. Epub 2016 Sep 26.
2
Flow Diverters for Treatment of Intracranial Aneurysms: Technical and Clinical Updates.用于治疗颅内动脉瘤的血流导向装置：技术与临床进展
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The safety of Pipeline flow diversion in fusiform vertebrobasilar aneurysms: a consecutive case series with longer-term follow-up from a single US center.Pipeline 血流导向装置治疗梭形椎基底动脉瘤的安全性：来自美国单中心的连续病例系列及长期随访研究。
J Neurosurg. 2016 Jul;125(1):111-9. doi: 10.3171/2015.6.JNS1565. Epub 2015 Dec 11.
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Stent-assisted Coil Embolization of Petrous ICA in a Teenager with Neurofibromatosis.青少年神经纤维瘤病患者岩骨段颈内动脉的支架辅助弹簧圈栓塞术
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