洞穴部分巨大的内 Carotid 动脉动脉瘤
Umberto G Rossi1, Alessandro Valdata1, Antonio Castaldi2
1Department of Diagnostic Imaging - Vascular and Interventional Radiology Unit E.O. Galliera Hospital Mura delle Cappuccine, 14 - 16128 Genova, ITALY.
Acta neurologica Taiwanica
|September 19, 2023
概括
一个巨大的内动脉动脉瘤成功地用内血管支架治疗. 这种微创方法为治疗这些罕见的,危及生命的血管疾病提供了有希望的替代方案.
科学领域:
- 血管神经学 血管神经学
- 干预性神经辐射学
- 神经成像是一种神经成像.
背景情况:
- 巨型内动脉瘤,定义为>2.5厘米,很少见,如果不治疗,会导致高死亡率.
- 内动脉动脉瘤,特别是在洞穴段,由于其位置,存在诊断和治疗方面的挑战.
研究的目的:
- 报告一个巨大的内动脉动脉瘤的病例,用内血管流量转移支架治疗.
- 要突出先进成像的诊断实用性和内血管技术对复杂动脉瘤的疗效.
主要方法:
- 诊断是使用多探测器计算机断层扫描血管学 (MD-CTA) 和磁共振成像 (MRI) 建立的.
- 在洞穴段的巨大的右侧内动脉动脉瘤 (2.7厘米) 通过数字减去血管学 (DSA) 得到证实.
- 治疗涉及部署一个血管内流量转移支架.
主要成果:
- 患者出现了头痛,吐,双眼视,以及暂时的面部.
- 图像检查证实,在内动脉洞穴段的2.7厘米巨型动脉瘤.
- 成功的内血管支架导致了没有神经缺陷的积极临床结果.
结论:
- 静脉内流量转移支架的部署是洞穴区巨大的内动脉动脉瘤的有效治疗方法.
- 像MD-CTA和MRI这样的先进成像技术对于诊断这些罕见的血管异常至关重要.
- 最少的侵入性内血管方法是首选的手术具有挑战性的动脉瘤在这个地区.
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