带有原始三角动脉变异的症状的大型内 Carotid 动脉动脉瘤的父动脉封闭:一个案例报告
Ryohei Ono1, Masayuki Sato1, Sho Okune2
1Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
与原始三角动脉变体 (PTAv) 相关的大型内动脉 (ICA) 动脉瘤得到成功治疗. 气球封闭测试 (BOT) 在母动脉封闭和栓塞之前证实了缺血性耐受性.
科学领域:
- 神经外科 神经外科
- 血管神经学 血管神经学
- 神经辐射学神经辐射学
背景情况:
- 内动脉 (ICA) 的症状大脑动脉瘤可能会带来重大治疗挑战.
- 原始三动脉变体 (PTAv) 的存在可能会因为大脑输液变化而使治疗策略复杂化.
- 在进行最终干预之前,评估缺血性耐受性至关重要.
研究的目的:
- 报告与PTAv相关的有症状的大型ICA动脉瘤病例.
- 描述使用气球封闭试验 (BOT) 来评估在这个特定的解剖学背景下缺血性耐受性.
- 为了评估母动脉封闭与选择性栓塞的PTAv的疗效.
主要方法:
- 评估了一名79岁的妇女,她有症状的大型ICA动脉瘤和PTAv呈现双眼视.
- 进行气球封闭试验 (BOT) 来评估输液区域和PTAv缺血性耐受性.
- 进行了内动脉 (ICA) 母动脉封闭,并对PTAv进行了选择性栓塞.
主要成果:
- BOT证实了受影响的大脑区域和PTAv的足够的缺血耐受性.
- 手术后的MRI显示,干预后没有缺血性病变.
- 患者呈现的双眼视症状在治疗后得到解决.
结论:
- 母动脉封闭与选择性PTAv栓塞结合,由BOT指导,是大型ICA动脉瘤的有效治疗方法.
- 在复杂的脑血管病例中,BOT是对缺血性耐受性进行程序前评估的宝贵工具.
- 这种方法为管理与血管变异相关的具有挑战性的大动脉瘤提供了可行的选择.
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