• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

使用少量造影剂对后交通动脉破裂夹层动脉瘤合并慢性肾脏病患者进行血管内治疗：一例报告

Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report.

作者信息

Yasuda Hiroaki, Nagamitsu Suguru, Kaneko Natsue, Nagatsuna Toshikazu, Urakawa Manabu, Fujii Masami, Yamashita Tetsuo, Okamoto Shuuji

机构信息

Department of Neurosurgery, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan.

Department of Radiation, Yamaguchi Prefectural Grand Medical Center, Hofu, Yamaguchi, Japan.

出版信息

J Neuroendovasc Ther. 2022;16(6):301-306. doi: 10.5797/jnet.cr.2021-0044. Epub 2021 Sep 22.

DOI:10.5797/jnet.cr.2021-0044
PMID:37501891
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10370547/
Abstract

OBJECTIVE

We report a rare case of a patient with a ruptured posterior communicating artery (P-com A) dissecting aneurysm and chronic kidney disease (CKD) treated by endovascular embolization using a small amount of contrast medium.

CASE PRESENTATION

An 88-year-old female patient had sudden onset of headache and vomit due to subarachnoid hemorrhage. MRI revealed a ruptured dissecting aneurysm of the right P-com A. The patient had CKD of severity grade 4. Endovascular treatment was performed using only 10 mL of diluted contrast medium with injection through a microcatheter. The postoperative course was uneventful, and no deterioration of renal function occurred.

CONCLUSION

With minimal amount of contrast medium, endovascular treatment could be safely and effectively performed for patients with P-com A dissecting aneurysms and severe CKD.

摘要

目的

我们报告一例罕见病例，一名患有后交通动脉（P-com A）夹层动脉瘤破裂且患有慢性肾脏病（CKD）的患者，采用少量造影剂进行血管内栓塞治疗。

病例介绍

一名88岁女性患者因蛛网膜下腔出血突然出现头痛和呕吐。MRI显示右侧P-com A夹层动脉瘤破裂。该患者患有4级严重CKD。仅使用10毫升稀释造影剂通过微导管注射进行血管内治疗。术后过程平稳，肾功能未出现恶化。

结论

对于患有P-com A夹层动脉瘤和严重CKD的患者，使用最少剂量的造影剂即可安全有效地进行血管内治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/a680c93ee01d/jnet-16-301-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/8694bb7dba1a/jnet-16-301-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/ad6c5ccd92bc/jnet-16-301-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/00124f454381/jnet-16-301-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/a680c93ee01d/jnet-16-301-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/8694bb7dba1a/jnet-16-301-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/ad6c5ccd92bc/jnet-16-301-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/00124f454381/jnet-16-301-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ecd/10370547/a680c93ee01d/jnet-16-301-g004.jpg

相似文献

1
Endovascular Treatment Using a Small Amount of Contrast Medium in a Patient with a Posterior Communicating Artery Ruptured Dissecting Aneurysm and Chronic Kidney Disease: A Case Report.使用少量造影剂对后交通动脉破裂夹层动脉瘤合并慢性肾脏病患者进行血管内治疗：一例报告
J Neuroendovasc Ther. 2022;16(6):301-306. doi: 10.5797/jnet.cr.2021-0044. Epub 2021 Sep 22.
2
Coil embolization for intracranial aneurysms: an evidence-based analysis.颅内动脉瘤的弹簧圈栓塞术：一项基于证据的分析。
Ont Health Technol Assess Ser. 2006;6(1):1-114. Epub 2006 Jan 1.
3
Stent-Assisted Coil Embolization for Acute Ruptured Dissecting Aneurysm at the P2 Segment of the Posterior Cerebral Artery: A Case Report.支架辅助弹簧圈栓塞术治疗大脑后动脉P2段急性破裂夹层动脉瘤：一例报告
J Neuroendovasc Ther. 2022;16(3):157-162. doi: 10.5797/jnet.cr.2021-0054. Epub 2021 Aug 7.
4
Ruptured dissecting aneurysm in communicating internal carotid artery segments treated using a stent-assisted endovascular technique.采用支架辅助血管内技术治疗颈内动脉交通段夹层动脉瘤破裂。
Interv Neuroradiol. 2018 Apr;24(2):130-134. doi: 10.1177/1591019917747244. Epub 2018 Jan 22.
5
[Ruptured Dissecting Distal Superior Cerebellar Artery Aneurysm Successfully Treated with Coil Embolization: A Case Report].[采用弹簧圈栓塞术成功治疗破裂的小脑上动脉远端夹层动脉瘤：一例报告]
No Shinkei Geka. 2016 Jan;44(1):53-8. doi: 10.11477/mf.1436203207.
6
[Ruptured Internal Carotid Artery Aneurysm Coiling in a Patient with Ipsilateral Internal Carotid Artery Occlusion via the Posterior Communicating Artery].[经后交通动脉对同侧颈内动脉闭塞患者的破裂颈内动脉瘤进行弹簧圈栓塞术]
No Shinkei Geka. 2016 Sep;44(9):785-91. doi: 10.11477/mf.1436203377.
7
Microcatheter injection reduces the amount of contrast medium during middle cerebral artery aneurysm embolization in a patient with chronic kidney disease.微导管注射减少了一名慢性肾病患者大脑中动脉动脉瘤栓塞过程中造影剂的用量。
Radiol Case Rep. 2020 Mar 6;15(5):542-544. doi: 10.1016/j.radcr.2020.02.003. eCollection 2020 May.
8
Subarachnoid hemorrhage from dissecting aneurysm of the posterior communicating artery.后交通动脉夹层动脉瘤引起的蛛网膜下腔出血。
J Clin Neurosci. 2016 Oct;32:125-8. doi: 10.1016/j.jocn.2015.12.040. Epub 2016 Jun 21.
9
Endovascular Coiling of Ruptured Very Small Dissecting Fusiform Aneurysm of Posterior Inferior Cerebellar Artery with Parent Artery Preservation by Microcatheter Auto-Assistance.采用微导管自动辅助技术对破裂的小脑后下动脉极小型夹层梭形动脉瘤进行血管内栓塞并保留载瘤动脉
World Neurosurg. 2019 Jan;121:152-155. doi: 10.1016/j.wneu.2018.10.049. Epub 2018 Oct 13.
10
Cerebellar hemorrhage after coil embolization for a ruptured vertebral dissecting aneurysm.椎动脉夹层动脉瘤破裂后弹簧圈栓塞治疗后发生小脑出血。
Surg Neurol. 2000 Mar;53(3):239-42. doi: 10.1016/s0090-3019(99)00191-3.

本文引用的文献

1
Microcatheter injection reduces the amount of contrast medium during middle cerebral artery aneurysm embolization in a patient with chronic kidney disease.微导管注射减少了一名慢性肾病患者大脑中动脉动脉瘤栓塞过程中造影剂的用量。
Radiol Case Rep. 2020 Mar 6;15(5):542-544. doi: 10.1016/j.radcr.2020.02.003. eCollection 2020 May.
2
Treatment outcomes in cerebral artery dissection and literature review.脑动脉夹层的治疗结果及文献综述
Interv Neuroradiol. 2018 Jun;24(3):254-262. doi: 10.1177/1591019918755692. Epub 2018 Feb 12.
3
Endovascular management of ruptured basilar artery dissection with two overlapping Low-profile Visualized Intraluminal Support stents.
使用两个重叠的低轮廓可视化腔内支撑支架对破裂的基底动脉夹层进行血管内治疗。
Interv Neuroradiol. 2016 Dec;22(6):659-661. doi: 10.1177/1591019916656584. Epub 2016 Jul 28.
4
Subarachnoid hemorrhage from dissecting aneurysm of the posterior communicating artery.后交通动脉夹层动脉瘤引起的蛛网膜下腔出血。
J Clin Neurosci. 2016 Oct;32:125-8. doi: 10.1016/j.jocn.2015.12.040. Epub 2016 Jun 21.
5
Dissecting aneurysms of posterior communicating artery itself: anatomical, diagnostic, clinical, and therapeutical considerations.后交通动脉本身的夹层动脉瘤：解剖学、诊断、临床和治疗学的考虑。
Neuroradiology. 2013 Sep;55(9):1103-12. doi: 10.1007/s00234-013-1212-3. Epub 2013 Jun 21.
6
Renal function-based contrast dosing to define safe limits of radiographic contrast media in patients undergoing percutaneous coronary interventions.基于肾功能的对比剂剂量调整，以确定接受经皮冠状动脉介入治疗的患者中造影剂的安全界限。
J Am Coll Cardiol. 2011 Aug 23;58(9):907-14. doi: 10.1016/j.jacc.2011.05.023.
7
The many faces of intracranial arterial dissections.颅内动脉夹层的多种表现
Interv Neuroradiol. 2010 Jun;16(2):151-60. doi: 10.1177/159101991001600206. Epub 2010 Jul 19.
8
Contrast medium dose-to-GFR ratio: a measure of systemic exposure to predict contrast-induced nephropathy after percutaneous coronary intervention.造影剂剂量与肾小球滤过率比值：一种衡量全身暴露情况以预测经皮冠状动脉介入术后造影剂肾病的指标。
Acta Radiol. 2008 Jul;49(6):658-67. doi: 10.1080/02841850802050762.
9
Endovascular treatment of isolated dissecting aneurysm of the posterior inferior cerebellar artery.小脑后下动脉孤立性夹层动脉瘤的血管内治疗
AJNR Am J Neuroradiol. 2006 Mar;27(3):527-32.
10
Spontaneous isolated posterior communicating artery dissection in a young adult with hyperhomocysteinemia.一名患有高同型半胱氨酸血症的年轻成年人发生自发性孤立性后交通动脉夹层。
AJNR Am J Neuroradiol. 2005 Sep;26(8):2030-2.