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对一名患有埃勒斯-当洛综合征且存在入路部位解剖变异的患者进行血管内介入治疗自发性颈动脉海绵窦瘘。

Endovascular intervention to treat spontaneous carotid-cavernous fistula in a patient with Ehlers-Danlos Syndrome with an access site anatomical variant.

作者信息

See Austin Jin Xian, Ashok Abhishekh Hulegar, Joshi Yogish, Guilfoyle Mathew, See Teik Choon

机构信息

The Royal Wolverhampton NHS Trust, Wolverhampton WV10 0QP, United Kingdom.

Cambridge University Hospitals NHS Foundation Trust, Cambridge CB2 0QQ, United Kingdom.

出版信息

BJR Case Rep. 2024 Feb 9;10(2):uaae006. doi: 10.1093/bjrcr/uaae006. eCollection 2024 Mar.

DOI:10.1093/bjrcr/uaae006
PMID:38433767
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10906948/
Abstract

Vascular Ehlers-Danlos Syndrome (vEDS) is a rare and potentially life-threatening inherited connective tissue disorder. Patients with vEDS can present with spontaneous arterial dissections and ruptured aneurysms. There are previous reports of large artery dissections and vessel rupture following conventional catheter diagnostic angiography. We present the case of a patient with vEDS who had a spontaneous carotid-cavernous fistula (CCF) and visceral aneurysms, associated with a normal variant of corona mortis. A CCF was successfully treated with a transvenous approach with detachable coils.

摘要

血管性埃勒斯-当洛综合征(vEDS)是一种罕见的、可能危及生命的遗传性结缔组织疾病。vEDS患者可出现自发性动脉夹层和动脉瘤破裂。既往有常规导管诊断性血管造影后发生大动脉夹层和血管破裂的报道。我们报告一例vEDS患者,其患有自发性颈内动脉海绵窦瘘(CCF)和内脏动脉瘤,并伴有冠状窦变异。通过经静脉途径使用可脱卸弹簧圈成功治疗了CCF。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/30c3becf2bc9/uaae006f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/d5f840b360b3/uaae006f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/0c0b4acbc44e/uaae006f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/4e6101bbe93a/uaae006f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/38f7d7389a7a/uaae006f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/30c3becf2bc9/uaae006f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/d5f840b360b3/uaae006f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/0c0b4acbc44e/uaae006f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/4e6101bbe93a/uaae006f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/38f7d7389a7a/uaae006f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/befd/10906948/30c3becf2bc9/uaae006f5.jpg

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NMC Case Rep J. 2024 Nov 16;11:345-352. doi: 10.2176/jns-nmc.2024-0128. eCollection 2024.

本文引用的文献

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Diagnosis and management of vascular Ehlers-Danlos syndrome: Experience of the UK national diagnostic service, Sheffield.血管型埃勒斯-当洛斯综合征的诊断和治疗:英国国家诊断服务机构,谢菲尔德的经验。
Eur J Hum Genet. 2023 Jul;31(7):749-760. doi: 10.1038/s41431-023-01343-7. Epub 2023 Mar 29.
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Neuroendovascular Procedures in Patients with Ehlers-Danlos Type IV: Multicenter Case Series and Systematic Review.神经血管介入治疗埃勒斯-当洛斯 IV 型患者:多中心病例系列和系统评价。
World Neurosurg. 2023 Feb;170:e529-e541. doi: 10.1016/j.wneu.2022.11.067. Epub 2022 Nov 17.
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Endovascular Management of Vascular Complications in Ehlers-Danlos Syndrome Type IV.
IV型埃勒斯-当洛综合征血管并发症的血管内治疗
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Corona Mortis: A Systematic Review of Literature.冠突散囊菌:文献系统综述。
Clinics (Sao Paulo). 2021 Apr 16;76:e2182. doi: 10.6061/clinics/2021/e2182. eCollection 2021.
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Vascular Ehlers-Danlos Syndrome: Literature review and surgical management of intracranial vascular complications.血管型埃勒斯-当洛斯综合征:颅内血管并发症的文献回顾与手术处理。
Clin Neurol Neurosurg. 2020 Jun;193:105775. doi: 10.1016/j.clineuro.2020.105775. Epub 2020 Mar 3.
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A multi-institutional experience in the aortic and arterial pathology in individuals with genetically confirmed vascular Ehlers-Danlos syndrome.遗传性血管型埃勒斯-当洛斯综合征患者的主动脉和动脉病理学的多机构经验。
J Vasc Surg. 2019 Nov;70(5):1543-1554. doi: 10.1016/j.jvs.2019.01.069. Epub 2019 May 21.
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