Wang Ming-Yi, Liu Yong-Sheng, An Xiang-Bo, Pan Tao, Wang Feng
Department of Intervention Therapy, First Affiliated Hospital of Dalian Medical University, Dalian, China.
Front Neurol. 2023 Jul 13;14:1218154. doi: 10.3389/fneur.2023.1218154. eCollection 2023.
A 64-year-old man presented with headache and dizziness. A vertebrobasilar dissecting aneurysm was identified via computed tomography angiography and high resolution magnetic resonance imaging. Perioperatively, standard oral dual antiplatelet drugs were given. Two flow diverters were telespcoped for endovascular treatment of the aneurysm. Postoperatively, there were no signs of cerebral infarction and no new symptoms. At the 6-month follow-up, digital subtraction angiography showed that the aneurysm was almost completely occluded, with no other complications. This case serves as a reference for using the multiple telescoping flow diverter technique to treat vertebrobasilar dissecting aneurysm.
一名64岁男性因头痛和头晕就诊。通过计算机断层血管造影和高分辨率磁共振成像确诊为椎基底动脉夹层动脉瘤。围手术期给予标准口服双联抗血小板药物。使用了两个血流导向装置进行动脉瘤的血管内治疗。术后未出现脑梗死迹象，也无新症状。在6个月的随访中，数字减影血管造影显示动脉瘤几乎完全闭塞，无其他并发症。该病例为使用多重套叠血流导向装置技术治疗椎基底动脉夹层动脉瘤提供了参考。
