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使用Hemashield包裹并辅以动脉瘤夹加固修复颈内动脉动脉穿孔：技术说明

Repair of an arterial perforation of the internal carotid artery using Hemashield wrapping with aneurysm clip reinforcement: technical note.

作者信息

Ogilvy C S

机构信息

Department of Cerebrovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, USA.

出版信息

Neurosurgery. 1997 Jun;40(6):1312-4. doi: 10.1097/00006123-199706000-00041.

DOI:10.1097/00006123-199706000-00041
PMID:9179909
Abstract

OBJECTIVE

To review a technique used to repair a hole in the carotid artery encountered during the dissection and clipping of a giant paraclinoid aneurysm.

METHODS

The technique of repair involves wrapping the artery using a woven double velour material impregnated with bovine collagen (Hemashield; Meadox, Oakland, NJ) and securing the material around the carotid artery with an aneurysm clip. The intravascular pressure of the carotid artery provides the counterforce necessary to seal the hole.

RESULTS

The carotid artery was slightly narrowed after the treatment. The patient made an excellent recovery from surgery.

CONCLUSION

This technique provides an alternative means of repairing a defect in the walls of intracranial arteries.

摘要

目的

回顾在巨大床突旁动脉瘤的解剖和夹闭过程中用于修复颈动脉破口的一项技术。

方法

修复技术包括使用浸渍有牛胶原蛋白的编织双层丝绒材料（Hemashield；Meadox，新泽西州奥克兰）包裹动脉，并用动脉瘤夹将材料固定在颈动脉周围。颈动脉的血管内压力提供封闭破口所需的反作用力。

结果

治疗后颈动脉略有狭窄。患者术后恢复良好。

结论

该技术为修复颅内动脉壁缺损提供了一种替代方法。

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