采用C-Guard支架治疗颈内动脉夹层
Internal Carotid Artery Dissection Treated with C-Guard Stent.
作者信息
Saal-Zapata Giancarlo, Durand Walter, Valer Dante, Rodríguez Rodolfo
机构信息
Department of Neurosurgery, Endovascular Neurosurgery Service, Hospital Nacional Guillermo Almenara Irigoyen-EsSalud, La Victoria, Lima, Peru.
出版信息
Int J Angiol. 2020 Apr 28;31(1):61-66. doi: 10.1055/s-0040-1708839. eCollection 2022 Mar.
Abstract
Internal carotid dissection is the most common cause of stroke in the young population. Stroke, the presence of a pseudoaneurysm, and decreased artery lumen with cerebral flow impairment are indications for treatment. Medical therapy with antithrombotic drugs and endovascular therapy with stenting are the main available options. The C-Guard stent is an open cell mesh-covered dual layer stent that has been mainly used in cases of internal carotid artery stenosis with a post-operative reduction in stroke incidence. Thus, we present two cases of internal carotid artery dissections of the cervical segment treated with the open cell dual-layer C-Guard stent without complications.
摘要
颈内动脉夹层是年轻人群中最常见的中风原因。中风、假性动脉瘤的存在以及伴有脑血流受损的动脉管腔缩小是治疗的指征。抗血栓药物的药物治疗和支架置入的血管内治疗是主要的可用选择。C-Guard支架是一种开孔网状覆盖的双层支架，主要用于颈内动脉狭窄病例，术后中风发生率降低。因此，我们报告两例采用开孔双层C-Guard支架治疗的颈段颈内动脉夹层病例，均无并发症。
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