Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review.
Central Retinal Artery Occlusion after the Endovascular Treatment of Unruptured Ophthalmic Artery Aneurysm: A Case Report and a Literature Review.
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DOI：
10.2176/nmccrj.cr.2015-0243
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发表时间：
2016-07
期刊：
影响因子：
--
通讯作者：
Tominaga T
中科院分区：
文献类型：
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作者：
Elkordy AM;Sato K;Inoue Y;Mano Y;Matsumoto Y;Takahashi A;Tominaga T
眼动脉(OphA)动脉瘤的血管内弹簧圈栓塞术有阻塞OphA的风险，这可能导致视力丧失。作者报告了一例未破裂的OphA动脉瘤患者，采用血管内弹簧圈治疗，术后因OphA血栓闭塞而致盲。OphA通过局部动脉内纤维蛋白溶解成功再通，视力完全恢复。尽管在使用球囊导管进行OphA闭塞测试期间有良好的逆行血流，但在OphA动脉瘤的血管内弹簧圈治疗过程中，由于血栓栓塞性并发症导致的视力丧失的风险不能被忽视。在这种情况下，需要快速干预以恢复视力障碍。
Endovascular coil embolization for ophthalmic artery (OphA) aneurysms has a risk of occlusion of the OphA, which can lead to loss of vision. The authors report a patient with unruptured OphA aneurysm which treated with endovascular coiling and were complicated by blindness due to OphA thromboembolic occlusion after the procedure. The OphA successfully recanalized using local intra-arterial fibrinolysis with complete regain of visual acuity. The risk of visual loss due to thromboembolic complications cannot be ignored during endovascular coiling of the OphA aneurysm despite of good retrograde flow during OphA occlusion test using a balloon catheter. Rapid intervention is required for recovering visual disturbance in such a situation.