血管内栓塞治疗外伤性颈内动脉海绵窦段假性动脉瘤  

Embolization of the Traumatic Internal Carotid Arterial Cavernous Segment Pseudoaneurysm

作　　者：孟雷[1] 姜勇[1] 高松[1] 董亚南[1] 李波[1] 

机构地区：[1]济南市中心医院神经外科,山东济南250013

出　　处：《中国医学影像技术》2003年第8期1033-1034,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　利用电解可脱卸弹簧圈 (GDC)或血管内支架结合GDC行血管内治疗外伤性颈内动脉海绵窦段假性动脉瘤。方法　脑血管造影确诊外伤性颈内动脉海绵窦段假性动脉瘤 ,对于窄颈的直接行GDC栓塞 ,宽颈的行支架植入结合GDC栓塞治疗。结果　术后 3个月脑血管造影复查均有不同程度复发 ;二次治疗 ,脑血管造影随访 6个月 ,未见复发。结论　应用GDC或血管内支架联合GDC可能成为治疗外伤性颈内动脉海绵窦段假性动脉瘤的有效方法。Objective Embolization of the traumatic internal carotid arterial cavernous segment pseudoaneurysm by guglielmi detachable coils (GDC) or intravascular stent combining GDC. Methods Traumatic internal carotid arterial cavernous segment pseudoaneurysms were diagnosed by cerebral angiography, the narrow neck pseudoaneurysms were embolized by GDC, the wide neck pseudoaneurysms were embolized by intravascular stent combining GDC. Results Cerebral angiography was undertaked 3 months after embolization confirmed that the pseudoaneurysms relapsed and were reembolized.Cerebral angiography was undertaked 6 months after reembolization,the pseudoaneurysms did not relapse. Conclusion Embolizing the traumatic internal carotid artery cavernous segment pseudoaneurysm by GDC or intravascular stent combining GDC would be an effective method.

关 键 词：外伤性颈内动脉海绵窦段假性动脉瘤 GDC 血管内支架 治疗 

分 类 号：R815[医药卫生—放射医学] R543.4[医药卫生—临床医学]