Extracranial Internal Carotid Artery Pseudoaneurysm Associated With Neurofibromatosis Type 1 Treated With Endovascular Stenting and Coil Embolization
Extracranial Internal Carotid Artery Pseudoaneurysm Associated With Neurofibromatosis Type 1 Treated With Endovascular Stenting and Coil Embolization
复制标题
颅外颈内动脉假性动脉瘤与 1 型神经纤维瘤病相关，采用血管内支架置入和弹簧圈栓塞治疗
DOI：
10.1177/1538574413510623
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发表时间：
2014
影响因子：
0.9
通讯作者：
U. Yonezawa
中科院分区：
文献类型：
--
作者：
O. Hamasaki;F. Ikawa;T. Hidaka;Y. Kurokawa;U. Yonezawa
颈内动脉(ICA)假性动脉瘤与神经纤维瘤病1型(NF-1)相关的情况很少见。我们报告了第一例未破裂的颈内动脉假性动脉瘤，这例患者接受了血管内支架和弹簧圈栓塞术，治疗成功。一位66岁的女性被诊断为NF-1，3年前突然出现左颈疼痛和大量肿胀。放射学检查显示左侧胸腔内动脉(ITA)假性动脉瘤破裂。治疗后CT扫描显示左侧ITA动脉瘤完全闭塞，右侧ICA假性动脉瘤未破裂。随访3年后，CT扫描显示右侧颈内动脉假性动脉瘤增大。采用血管内支架置入术和弹簧圈栓塞术预防破裂，病变完全消失。术后6个月随访血管造影显示颈内动脉流经支架良好，未见动脉瘤充盈。
An internal carotid artery (ICA) pseudoaneurysm associated with neurofibromatosis type 1 (NF-1) is rare. We report the first case of unruptured extracranial pseudoaneurysm of the ICA in a patient with NF-1 successfully treated with endovascular stenting and coil embolization.A 66-year-old woman diagnosed with NF-1 had sudden left neck pain and massive swelling 3 years earlier. Radiological examination showed a ruptured pseudoaneurysm of the left internal thoracic artery (ITA). The posttreatment computed tomography (CT) scan revealed complete obliteration of the aneurysm of the left ITA and an unruptured pseudoaneurysm of the right ICA. After 3 years of follow-up, a CT scan revealed the enlargement of the pseudoaneurysm of the right extracranial ICA. Endovascular stenting and coil embolization were performed to prevent rupture, and the lesion was completely obliterated. Follow-up angiography at 6 months revealed good flow of the ICA through the stent without any filling of the aneurysm.