Manninen H I, Koivisto T, Saari T, Matsi P J, Vanninen R L, Luukkonen M, Hernesniemi J
Department of Clinical Radiology, Kuopio University Hospital, Finland.
AJNR Am J Neuroradiol. 1997 Aug;18(7):1216-20.
A patient with cervicocranial fibromuscular dysplasia (FMD) presented with subarachnoid hemorrhage. A ruptured dissecting distal vertebral artery aneurysm required clip ligation of the parent artery; a contralateral dissecting proximal vertebral aneurysm was occluded with detachable coils. Progressive dissecting, extracranial aneurysms of the internal carotid artery were treated with self-expanding stents. Subsequent angiography and intravascular sonography revealed patent stents, a smooth luminal surface, and total occlusion of the aneurysm. Clinical outcome was excellent.
一名患有颈颅纤维肌发育不良（FMD）的患者出现蛛网膜下腔出血。一个破裂的椎动脉远端夹层动脉瘤需要对其供血动脉进行夹闭结扎；对侧椎动脉近端夹层动脉瘤则用可脱性弹簧圈栓塞。颈内动脉进行性夹层、颅外动脉瘤采用自膨式支架治疗。随后的血管造影和血管内超声检查显示支架通畅、管腔表面光滑且动脉瘤完全闭塞。临床结果良好。
