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生物胶血管内治疗大脑中动脉颞前动脉远端梭形动脉瘤破裂:一例报告

Bioglue endovascular treatment of fusiform aneurysm rupture of the distal anterior temporal artery of the middle cerebral artery: a case report.

作者信息

Le Hoang Kien, Tran Anh Tuan, Nguyen Van Hoang, Nguyen Thi Hao, Dao Viet Phương, Nguyen Tien Dung, Mai Duy Ton

机构信息

Radiology Center, Bach Mai hospital, Hanoi, Vietnam.

Department of Radiology, Hanoi Medical University, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2022 Apr 5;17(6):1921-1926. doi: 10.1016/j.radcr.2022.03.025. eCollection 2022 Jun.

Abstract

The treatment of a ruptured fusiform distal anterior temporal artery aneurysm is a challenge for the stroke physician, however surgical closure and coil endovascular intervention are options. A total blockage can result in memory problems as well as object-related questions. We'd like to provide the clinical example of a 56-year-old woman with many underlying medical illnesses who was admitted to the hospital with a grade 7/10 headache and a Glasgow score of 15, but no focal neurological deficits, and was diagnosed with a ruptured distal temporal artery aneurysm. The aneurysm is positioned in the distal region, making endovascular intervention difficult to perform. As a result, we used an endovascular approach to repair with bioglue. When a patient develops fusiform aneurysms of the distal temporal artery, our findings provide an additional therapy option.

摘要

治疗梭形颞前动脉远端动脉瘤对中风医生来说是一项挑战,不过手术闭合和血管内线圈介入都是可选方案。完全堵塞可能导致记忆问题以及与物体相关的问题。我们想提供一个临床案例,一名56岁患有多种基础疾病的女性因7/10级头痛入院,格拉斯哥评分为15分,但无局灶性神经功能缺损,被诊断为颞动脉远端动脉瘤破裂。动脉瘤位于远端区域,使得血管内介入操作困难。因此,我们采用血管内方法用生物胶进行修复。当患者出现颞动脉远端梭形动脉瘤时,我们的研究结果提供了另一种治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/028e/8990061/2ab95eab21f2/gr1.jpg

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