急性期大脑前动脉夹层动脉瘤破裂的重叠支架与弹簧圈栓塞术
Overlapping Stents and Coil Embolization of Ruptured Anterior Cerebral Artery Dissecting Aneurysms in the Acute Phase.
作者信息
Tsuchiya Naoto, Fujiwara Hidemoto, Takahashi Haruhiko, Ogura Ryousuke, Yoshimura Junichi, Fujii Yukihiko
机构信息
Department of Neurosurgery, Nagano Red Cross Hospital, Nagano, Nagano, Japan.
Department of Neurosurgery, Brain Research Institute, University of Niigata, Niigata, Niigata, Japan.
出版信息
J Neuroendovasc Ther. 2020;14(10):435-440. doi: 10.5797/jnet.cr.2019-0116. Epub 2020 Aug 6.
OBJECTIVE
To report a case of ruptured anterior cerebral artery dissection treated with stent-assisted coil embolization with overlapping stents.
CASE PRESENTATION
A 51-year-old woman developed subarachnoid hemorrhage the day after transient left hemiparesis. Angiography revealed a ruptured anterior cerebral artery dissecting aneurysm. We conducted stent-assisted coil embolization with the overlapping stent technique on the day after the hemorrhage. She recovered steadily without rebleeding. Six months after embolization, no recurrence was found on angiography.
CONCLUSION
Although an acceptable result was achieved in this case, the safety and efficacy of this procedure are unconfirmed. A larger number of cases should be accumulated.
目的
报告1例采用重叠支架辅助弹簧圈栓塞治疗的大脑前动脉夹层破裂病例。
病例介绍
一名51岁女性在短暂性左侧偏瘫后次日发生蛛网膜下腔出血。血管造影显示大脑前动脉夹层动脉瘤破裂。我们在出血后次日采用重叠支架技术进行了支架辅助弹簧圈栓塞。她恢复平稳，未再出血。栓塞6个月后，血管造影未发现复发。
结论
虽然该病例取得了可接受的结果，但该手术的安全性和有效性尚未得到证实。应积累更多病例。
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