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.
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.
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。
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