椎动脉内膜切除术联合血管内治疗椎动脉狭窄和椎动脉动脉瘤：病例说明
Vertebral endarterectomy combined with endovascular treatment for patients with vertebral artery stenosis and vertebral aneurysm: illustrative case.
作者信息
Yang Fan, Li Shilin, Chen Yuanbing, Xie Jiayi, Liu Yi, Peng Fei, Chen Xuge, Xia Jiaxiang, Xu Boya, Wang Zhifei, Jiang Jiaode, Liu Aihua
机构信息
Department of Neurosurgery, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
Department of Ultrasound, The Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
出版信息
J Neurosurg Case Lessons. 2024 Nov 4;8(19). doi: 10.3171/CASE2475.
BACKGROUND
Vertebral artery stenosis (VAS) and vertebral aneurysms are serious conditions that can be life-threatening and have a poor prognosis. The co-occurrence of VAS and a vertebral aneurysm is less common and more difficult to treat.
OBSERVATIONS
The authors report the case of a patient who presented with a rare occurrence of VAS combined with a vertebral aneurysm. The optimal treatment for both VAS and the vertebral aneurysm is intravascular therapy. Since the guidewire was unable to establish an effective channel, vertebral endarterectomy was performed in combination with endovascular treatment.
LESSONS
A combination of vertebral endarterectomy and endovascular treatment can effectively manage the co-occurrence of VAS and a vertebral aneurysm. https://thejns.org/doi/10.3171/CASE2475.
背景
椎动脉狭窄（VAS）和椎动脉动脉瘤是严重的疾病，可能危及生命且预后不良。VAS与椎动脉动脉瘤同时出现的情况较少见且治疗难度更大。
观察结果
作者报告了一例罕见的VAS合并椎动脉动脉瘤患者的病例。VAS和椎动脉动脉瘤的最佳治疗方法是血管内治疗。由于导丝无法建立有效的通道，因此联合血管内治疗进行了椎动脉内膜切除术。
经验教训
椎动脉内膜切除术与血管内治疗相结合可以有效处理VAS和椎动脉动脉瘤同时出现的情况。https://thejns.org/doi/10.3171/CASE2475
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