超越血流导向装置在动静脉畸形患者方案中治疗两个宽颈动脉瘤的应用：病例报告
Surpass Flow-Diverter in the Treatment of Two Wide-Neck Aneurysms in the Scheme of an Arteriovenous Malformation Patient: A Case Study.
作者信息
Phuc Dang Duc, Thuan Do Duc, Dai Pham Dinh, Duc Dang Minh, Anh Nguyen Quang, Nga Nguyen Thi, Toi Chu Dinh, Phuong Dao Viet, Mai Duy Ton
机构信息
Department of Stroke, Military Hospital 103, No 261 Phung Hung Street, Ha Dong District, Hanoi, Vietnam.
Radiology Center, Bach Mai Hospital, Hanoi, Vietnam.
出版信息
Open Access Maced J Med Sci. 2019 Dec 20;7(24):4316-4318. doi: 10.3889/oamjms.2019.382. eCollection 2019 Dec 30.
BACKGROUND
The cerebral arterial aneurysm, especially in the circumstances of ateriovenous malformation (AVM), has higher risk of rupture than normal isolated aneursym. Therefore, the treatment strategy needs to be plan very carefully in such case.
CASE PRESENTATION
We report a patient with 2 wide-neck aneurysms located in the feeding artery of the arteriovenous malformation and he, then, was treated by using Surpass stent (flow-diverter) to eliminate the aneurysms.
CONCLUSION
In our case, multiple wide-neck aneurysms in combination with low risk unruptured AVM, using long Surpass stent-diversion is an effective way to eliminate all the aneurysms in the main feeding artery while still preserving the AVM anatomy.
背景
脑动脉动脉瘤，尤其是在合并动静脉畸形（AVM）的情况下，比正常孤立性动脉瘤有更高的破裂风险。因此，在这种情况下治疗策略需要非常谨慎地规划。
病例报告
我们报告一名患者，其位于动静脉畸形供血动脉的2个宽颈动脉瘤，随后采用Surpass支架（血流导向装置）进行治疗以消除动脉瘤。
结论
在我们的病例中，对于多个宽颈动脉瘤合并低风险未破裂AVM，使用长的Surpass支架分流是一种有效的方法，可消除主要供血动脉中的所有动脉瘤，同时仍保留AVM的解剖结构。
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