Craven Claudia L, Mullins Sophie, Rennie Adam, Toma Ahmed K
Neurosurgery, National Hospital for Neurology and Neurosurgery, London, GBR.
Neuroradiology, National Hospital for Neurology and Neurosurgery, London, GBR.
Cureus. 2020 Apr 23;12(4):e7797. doi: 10.7759/cureus.7797.
Endovascular coil embolization of cerebral aneurysm is a common procedure for managing cerebral aneurysms. We present a rare case of immediate silent coil migration into the pericallosal artery, without distal occlusion, following successful embolization. Despite the entire coil sitting within the lumen of the artery, good distal flow was observed. The patient remained asymptomatic throughout and had a good long-term (three years to date) outcome (modified Rankin Scale score of 1). We believe that the novel protective factor was the routine use of a single anti-platelet post-procedure.
脑动脉瘤的血管内弹簧圈栓塞术是治疗脑动脉瘤的常用方法。我们报告了一例罕见病例，在成功栓塞后，弹簧圈立即无声地迁移至胼周动脉，未造成远端闭塞。尽管整个弹簧圈位于动脉腔内，但远端血流良好。患者自始至终无症状，长期（至今三年）预后良好（改良Rankin量表评分为1分）。我们认为，新的保护因素是术后常规使用单一抗血小板药物。
