Deng Qiao, Feng Wen Feng
Department of Neurosurgery, Nanfang Hospital of Southern Medical University, Guangzhou, 510515, China.
J Interv Med. 2020 Jan 21;3(1):45-48. doi: 10.1016/j.jimed.2020.01.007. eCollection 2020 Feb.
To investigate the advantages and effects of pipeline embolization device (PED) or Willis stent, in treating traumatic pseudoaneurysms. Traumatic pseudo intracranial aneurysms (TPIA) can be caused by either direct trauma or iatrogenic injuries, usually caused by direct arterial wall injury or shear due to acceleration. We describe a series of patients with TPIA who received a PED or Willis stent.
Retrospective analysis was performed on nine patients with TPIA admitted to the southern hospital of Southern Medical University from December 2017 to June 2019, of whom four were treated with PED and five were implanted with six Willis covered stents. The occlusive rate and complication in the two kinds of stents were compared by postoperative follow-up and modified rankin score (MRS).
After the implantation of PED, four patients showed an immediate stagnation of blood flow or a decreased filling in aneurysms, three out of four patients exhibited complete occlusion, and the remaining patient had nearly complete occlusion. Four out of five cases of Willis stent implantation were associated with immediate complete occlusion of aneurysms, and the modified rankin score of these patients ranged from 0 to 1. One patient died of unassociated complications.
For different types of TPIA in the internal carotid artery (ICA), PED and Willis stents provide significant advantages in treatment, with fewer postoperative complications and prognosis well.
探讨管道栓塞装置（PED）或Willis支架治疗创伤性假性动脉瘤的优势及效果。创伤性颅内假性动脉瘤（TPIA）可由直接创伤或医源性损伤引起，通常由动脉壁直接损伤或加速导致的剪切力所致。我们描述了一系列接受PED或Willis支架治疗的TPIA患者。
对2017年12月至2019年6月在南方医科大学南方医院收治的9例TPIA患者进行回顾性分析，其中4例接受PED治疗，5例植入6枚Willis覆膜支架。通过术后随访和改良Rankin评分（MRS）比较两种支架的闭塞率和并发症。
植入PED后，4例患者动脉瘤内血流立即停滞或充盈减少，4例患者中有3例完全闭塞，其余1例几乎完全闭塞。5例Willis支架植入患者中有4例动脉瘤立即完全闭塞，这些患者的改良Rankin评分为0至1分。1例患者死于无关并发症。
对于颈内动脉（ICA）不同类型的TPIA，PED和Willis支架在治疗方面具有显著优势，术后并发症较少，预后良好。
