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使用WEB装置治疗的破裂双叶基底动脉开窗动脉瘤

Ruptured Bilobed Basilar Artery Fenestration Aneurysm Treated with a WEB Device.

作者信息

Drijkoningen Tessa, van den Wijngaard Ido, Ghariq Elyas

机构信息

Radiology Department, Haaglanden Medisch Centrum, Den Haag, The Netherlands.

Neurology Department, Haaglanden Medisch Centrum, Den Haag, The Netherlands.

出版信息

J Neuroendovasc Ther. 2021;15(10):695-699. doi: 10.5797/jnet.tn.2020-0182. Epub 2021 Jan 28.

DOI:10.5797/jnet.tn.2020-0182
PMID:37502374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10370566/
Abstract

OBJECTIVE

To describe the technique of using a Woven Endo Bridge (WEB) device to treat a ruptured bilobed blister-like aneurysm (BLA) at the basilar artery (BA) fenestration.

CASE PRESENTATION

A previously healthy 66-year-old female presented at the emergency room with subarachnoid hemorrhage (SAH), centered around the brainstem. Unenhanced CT and CT angiography showed a BLA of a basilar fenestration limb. The angiogram confirmed the diagnosis. A WEB device was chosen to treat this rare and challenging aneurysm.

CONCLUSION

In this article, we describe the successful endovascular treatment of a SAH patient with a ruptured BLA at the basilar artery fenestration using a WEB device. And an overview of treatment options is provided.

摘要

目的

描述使用编织型血管内桥接（WEB）装置治疗基底动脉（BA）开窗处破裂的双叶泡状动脉瘤（BLA）的技术。

病例介绍

一名66岁既往健康的女性因蛛网膜下腔出血（SAH）就诊于急诊室，出血以脑干为中心。平扫CT及CT血管造影显示基底动脉开窗分支处有一个双叶泡状动脉瘤。血管造影确诊了该诊断。选用WEB装置治疗这个罕见且具有挑战性的动脉瘤。

结论

在本文中，我们描述了使用WEB装置成功对一名基底动脉开窗处破裂的双叶泡状动脉瘤导致蛛网膜下腔出血的患者进行血管内治疗。并提供了治疗选择的概述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/759a10b119c8/jnet-15-695-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/1d32726b408a/jnet-15-695-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/4878c9173473/jnet-15-695-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/137b80c17c6e/jnet-15-695-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/d8ae85e49470/jnet-15-695-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/759a10b119c8/jnet-15-695-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/1d32726b408a/jnet-15-695-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/4878c9173473/jnet-15-695-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/137b80c17c6e/jnet-15-695-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/d8ae85e49470/jnet-15-695-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4d3/10370566/759a10b119c8/jnet-15-695-g005.jpg

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