在栓塞颞动脉动静脉畸形相关血流相关性基底动脉瘤时成功进行 WEB 切除术。
Successful WEBectomy during embolization of temporal arteriovenous malformation-associated flow-related basilar aneurysms.
机构信息
Interventional Neuroradiology Unit, 68792Ain Shams University hospitals, Cairo, Egypt.
Neuroradiology Department, University Hospital Güi-de-Chauliac, 26905Centre Hospitalo-Universitaire de Montpellier, Montpellier, France.
出版信息
Interv Neuroradiol. 2022 Dec;28(6):644-649. doi: 10.1177/15910199211057693. Epub 2021 Nov 13.
Abstract
OBJECTIVE
Intra-procedural WEB device migration is a scarcely reported complication that necessitates prompt intervention.
CASE PRESENTATION
Endovascular treatment of two broad necked flow-related aneurysms was planned aided by WEB-SL (Woven EndoBridge-single layer) devices in a 71-year-old female with known left temporal arteriovenous malformation. Inadvertent distal migration occurred while performing a control angiogram with an automated iodine injector. Immediate retrieval was successfully performed using a Solitaire stent-retriever.
CONCLUSION
To our knowledge, we report for the first time the successful retrieval of a distally migrated WEB using a stent-retriever device.
摘要
目的
术中 WEB 装置迁移是一种罕见报道的并发症，需要及时干预。
病例介绍
一位 71 岁女性已知存在左侧颞动脉动静脉畸形，计划使用 WEB-SL（编织式 EndoBridge-单层）装置进行血管内治疗两个宽颈血流相关性动脉瘤。在使用自动碘注射器进行控制性血管造影时，发生了意外的远端迁移。立即使用 Solitaire 支架取栓器成功进行了取回。
结论
据我们所知，我们首次报告了使用支架取栓器成功取回远端迁移的 WEB。
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