Tandem cervical carotid stenting for stenosis with flow diversion embolisation for the treatment of intracranial aneurysms  

作　　者：Jessica K Campos Li-Mei Lin Narlin B Beaty Matthew T Bender Bowen Jiang David A Zarrin Alexander L Coon 

机构地区：[1]Department of Neurosurgery,Johns Hopkins University School of Medicine,Baltimore,Maryland,USA [2]Department of Neurosurgery,University of California,Irvine,Orange,California,USA

出　　处：《Stroke & Vascular Neurology》2019年第1期43-47,共5页卒中与血管神经病学（英文）

摘　　要：Background An estimated 2%-3%of the population harbour an intracranial aneurysm.Concomitant atherosclerotic cervical carotid disease is not uncommon.The management of these two entities remains a challenge within the field.Case presentation We report a single case of concomitant carotid stenosis and two ipsilateral unruptured intracranial aneurysms treated with a single-staged cervical carotid stenting and cerebral aneurysm embolisation with the Pipeline embolisation device.Discussion No consensus currently exists to guide endovascular treatment of intracranial aneurysms associated with asymptomatic ipsilateral stenosis.Here,we present a case of asymptomatic moderate carotid stenosis with two ipsilateral intracranial aneurysms and suggest carotid artery stenting takes procedural priority over aneurysm embolisation in single-stage treatment.The rationale for the sequence of neurointerventions is based on the tracking a robust distal access system beyond a stenotic proximal carotid lesion and stabilisation of the ulcerated plaque to avoid thromboembolic complications associated with plaque irritation during aneurysm embolisation.Additional cases and longer follow-up will be needed to further assess the efficacy of this technique.

关 键 词：ANEURYSM CAROTID STENOSIS 

分 类 号：R74[医药卫生—神经病学与精神病学]