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
Stent-Assisted Coil Embolization for Acute Ruptured Dissecting Aneurysm at the P2 Segment of the Posterior Cerebral Artery: A Case Report.
作者信息
Mitsuhashi Takashi, Oishi Hidenori, Makino Kensaku, Tokugawa Joji, Fuse Atsuhito, Hishii Makoto
机构信息
Department of Neurosurgery, Juntendo University Nerima Hospital, Tokyo, Japan.
Department of Neurosurgery, Faculty of Medicine, Juntendo University, Tokyo, Japan.
出版信息
J Neuroendovasc Ther. 2022;16(3):157-162. doi: 10.5797/jnet.cr.2021-0054. Epub 2021 Aug 7.
OBJECTIVE
We report a case of ruptured posterior cerebral artery (PCA) dissecting aneurysm treated with stent-assisted coil embolization in the acute phase of ruptured aneurysm.
CASE PRESENTATION
A 60-year-old woman presented with sudden onset of severe headache followed by unconsciousness. CT showed severe subarachnoid hemorrhage. Digital subtraction angiography showed a dissecting aneurysm at the P2 segment of the right PCA. Stent-assisted coil embolization was performed for the ruptured dissecting aneurysm. Since thrombus was observed in the stent, ozagrel was administered intravenously, and the thrombus gradually disappeared during the follow-up period. She was discharged without neurological deficit.
CONCLUSION
Parent artery occlusion is widely performed for acute ruptured PCA dissecting aneurysm, but reconstruction with stent-assisted coiling is considered to be an effective therapeutic strategy.
目的
我们报告一例在动脉瘤破裂急性期采用支架辅助弹簧圈栓塞治疗的大脑后动脉（PCA）夹层动脉瘤破裂病例。
病例介绍
一名60岁女性突发剧烈头痛，随后昏迷。CT显示严重蛛网膜下腔出血。数字减影血管造影显示右侧大脑后动脉P2段夹层动脉瘤。对破裂的夹层动脉瘤进行了支架辅助弹簧圈栓塞。由于在支架内观察到血栓，静脉给予奥扎格雷，随访期间血栓逐渐消失。她出院时无神经功能缺损。
结论
对于急性破裂的大脑后动脉夹层动脉瘤，广泛采用载瘤动脉闭塞术，但支架辅助弹簧圈重建被认为是一种有效的治疗策略。
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