一名插入了两个LVIS支架的颈内动脉血泡样动脉瘤破裂患者。
A Patient with a Ruptured Blood Blister-like Aneurysm of the Internal Carotid Artery in Whom Two LVIS Stents Were Inserted.
作者信息
Suzuki Ryotaro, Takigawa Tomoji, Anazawa Toru, Shirasaka Nobuo, Matsumoto Yoshiyuki, Fujii Yoshiko, Nariai Yasuhiko, Sugiura Yoshiki, Kawamura Yosuke, Takano Issei, Tanaka Yoshihiro, Nagaishi Masaya, Hyodo Akio, Suzuki Kensuke
机构信息
Department of Neurosurgery, Dokkyo Medical University Saitama Medical Center, Koshigaya, Saitama, Japan.
出版信息
J Neuroendovasc Ther. 2020;14(3):102-107. doi: 10.5797/jnet.cr.2019-0068. Epub 2020 Jan 22.
OBJECTIVE
We report a case in which multiple overlapping low-profile visualized intraluminal support (LVIS) stents were used as monotherapy for ruptured blood blister-like aneurysm (BBA) of the internal carotid artery (ICA).
CASE PRESENTATION
A 48-year-old female presented to the emergency room with acute-onset headache. She was alert without neurological deficit with subarachnoid hemorrhage (SAH) Hunt and Kosnik grade I. Emergency angiography revealed a BBA from the supraclinoid ICA. This aneurysm had a small diameter, which makes coil embolization difficult. Therefore, we planned to use multiple overlapping LVIS stents as monotherapy for the ruptured aneurysm. The postoperative course was uneventful without rebleeding. The patient exhibited no neurological deficits on the clinical follow-up at 1 year.
CONCLUSION
Multiple overlapping LVIS stents as monotherapy is useful for ruptured BBAs of the ICA.
目的
我们报告一例使用多个重叠的低轮廓可视化腔内支撑（LVIS）支架作为颈内动脉（ICA）血泡样动脉瘤（BBA）破裂的单一治疗方法的病例。
病例介绍
一名48岁女性因急性头痛就诊于急诊室。她神志清醒，无神经功能缺损，蛛网膜下腔出血（SAH）Hunt和Kosnik分级为I级。急诊血管造影显示鞍上ICA有一个BBA。该动脉瘤直径较小，难以进行弹簧圈栓塞。因此，我们计划使用多个重叠的LVIS支架作为破裂动脉瘤的单一治疗方法。术后过程顺利，无再出血。患者在1年的临床随访中未出现神经功能缺损。
结论
多个重叠的LVIS支架作为单一治疗方法对ICA的破裂BBA有效。
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