Manabe H, Fujita S, Hatayama T, Suzuki S, Yagihashi S
Department of Neurosurgery and Pathology, Hirosaki University School of Medicine, Kuroishi City Hospital, Japan.
J Neurosurg. 1998 Jun;88(6):1096-8. doi: 10.3171/jns.1998.88.6.1096.
The authors describe the histopathological findings in a case involving rerupture of a recanalized aneurysm of the internal carotid artery 8 months after partial (95%) embolization with interlocking detachable coils. The aneurysm was filled with poorly organized thrombus, and its orifice was devoid of endothelial cells. It appears likely that a long period of observation may be required to confirm the complete thrombotic organization of coil-embolized aneurysms. This indicates that caution is needed because rupture may follow recanalization of the aneurysm.
作者描述了一例病例的组织病理学发现，该病例为使用可脱性弹簧圈进行部分（95%）栓塞8个月后，颈内动脉再通动脉瘤再次破裂。动脉瘤内充满组织不良的血栓，其开口处无内皮细胞。似乎可能需要长时间观察以确认弹簧圈栓塞动脉瘤的完全血栓形成组织化。这表明需要谨慎，因为动脉瘤再通后可能会发生破裂。
