Perez-Cruet M J, Patwardhan R V, Mawad M E, Rose J E
Department of Neurosurgery, Baylor College of Medicine, Houston, Texas, USA.
Neurosurgery. 1997 Mar;40(3):622-5; discussion 625-6. doi: 10.1097/00006123-199703000-00039.
This case illustrates the use of an endovascular stent and coiling combination to treat a giant wide-necked pseudoaneurysm of the cervical internal carotid artery.
A 20-year-old male patient presented with a bilateral dissection of the cervical internal carotid artery and a right giant wide-necked pseudoaneurysm of the cervical segment of the internal carotid artery after a high-speed motor vehicle collision.
After failing conservative therapy, the patient was treated by endovascular placement of a Palmaz wall stent at the level of the pseudoaneurysm and filling of the pseudoaneurysm with multiple Guglielmi detachable coils. Obliteration of the pseudoaneurysm was achieved, and patency of the right internal carotid artery was maintained.
The patient's neurological symptoms resolved completely after treatment, and he sustained no neurological complications during the 20-month follow-up period. This case illustrates the successful treatment of a wide-based giant pseudoaneurysm by using a combination of an endovascular stent and coil embolization.
本病例展示了使用血管内支架和弹簧圈联合治疗颈内动脉巨大宽颈假性动脉瘤。
一名20岁男性患者在高速机动车碰撞后出现双侧颈内动脉夹层以及右侧颈段颈内动脉巨大宽颈假性动脉瘤。
保守治疗失败后，患者接受了在假性动脉瘤水平处血管内植入帕尔马兹壁式支架并使用多个 Guglielmi 可脱卸弹簧圈填充假性动脉瘤的治疗。假性动脉瘤闭塞，右侧颈内动脉保持通畅。
治疗后患者神经症状完全缓解，在20个月的随访期内未出现神经并发症。本病例说明了使用血管内支架和弹簧圈栓塞联合治疗宽基底巨大假性动脉瘤的成功经验。
