Altunbulak Halil Ibrahim, Altunbulak Ahmet Yasir, Balci Sinan, Berker Mustafa, Arat Anil
Department of Radiology, Hacettepe University of Medicine of Faculty, Ankara, Turkey.
Department of Neurosurgery, Hacettepe University of Medicine of Faculty, Ankara, Turkey.
J Cerebrovasc Endovasc Neurosurg. 2024 Dec;26(4):399-404. doi: 10.7461/jcen.2024.E2023.11.007. Epub 2024 May 31.
A 50-year-old male patient with a history of transcranial surgery and subsequent radiotherapy for a pituitary adenoma presented with repetitive pulsatile nasal bleeding. A right cavernous segment pseudoaneurysm was discovered on the angiogram, and the patient failed the balloon occlusion test. A Papyrus (Biotronik, Berlin, Germany) stent graft, which is approved for coronary interventions, was successfully deployed over a coaxial guiding system during the emergent treatment of the false aneurysm. The patient tolerated the procedure well and nasal bleeding did not recur after the procedure. At one-year angiographic follow-up, the stent graft was patent and there was no evidence of recanalization of the false aneurysm.
一名50岁男性患者，有垂体腺瘤经颅手术及后续放疗史，现出现反复搏动性鼻出血。血管造影发现右侧海绵窦段假性动脉瘤，患者球囊闭塞试验未通过。在急诊治疗假性动脉瘤期间，一种已获冠状动脉介入治疗批准的Papyrus（德国柏林百多力公司）支架移植物通过同轴引导系统成功置入。患者对该手术耐受性良好，术后鼻出血未再复发。在一年的血管造影随访中，支架移植物通畅，无假性动脉瘤再通的迹象。
