Stent-Assisted Coiling Treatment of Pediatric Traumatic Pseudoaneurysm Resulting from Tumor Surgery
Stent-Assisted Coiling Treatment of Pediatric Traumatic Pseudoaneurysm Resulting from Tumor Surgery
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DOI：
10.1159/000339353
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发表时间：
2011-01-01
影响因子：
0.7
通讯作者：
Siddiqui, Adnan H.
中科院分区：
文献类型：
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作者：
Ogilvy, Christopher S.;Tawk, Rabih G.;Siddiqui, Adnan H.
背景：儿童外伤性颅内假性动脉瘤通常是钝性或穿透性头部损伤的结果。有孤立的报告，假性动脉瘤的结果颅内动脉瘤手术在成人和儿童。由于外伤性假性动脉瘤动脉壁厚度的已知变异性，无论是手术还是血管内治疗，这些病变都可能很复杂。病例报告：我们描述了一个孩子谁接受成功切除颅咽管瘤分阶段手术程序。术后8个月的随访影像显示左侧颈突上动脉假性动脉瘤增大。病变成功治疗血管支架和线圈放置之间的支架和动脉瘤段的动脉。6个月后随访血管造影显示动脉瘤完全闭塞，颈动脉管腔恢复正常。结论：据我们所知，这是儿童手术后继发性假性动脉瘤采用支架辅助盘绕治疗的首例报道。这种血管重建策略越来越多地用于成人，在儿科人群中实施似乎是安全的。然而，在这一年轻人群中使用抗血小板方案的长期结果和价值仍有待确定。巴塞尔S. Karger股份有限公司版权所有
Background: Traumatic intracranial pseudoaneurysms in children are typically the result of blunt or penetrating head injury. There are isolated reports of pseudoaneurysm as the result of intracranial aneurysm surgery in both adults and children. Treatment of these lesions, both surgically and endovascularly, can be complicated due to the known variability of arterial wall thickness in traumatic pseudoaneurysms. Case Report: We describe a child who underwent successful craniopharyngioma resection following staged surgical procedures. Follow-up imaging 8 months after the operation demonstrated an enlarging pseudoaneurysm of the left supraclinoid carotid artery. The lesion was successfully treated with stenting of the vessel and coil placement between the stent and the aneurysmal segment of the artery. Follow-up angiographic imaging 6 months later revealed complete obliteration of the aneurysm and normalization of the carotid artery lumen. Conclusion: To our knowledge, this is the first report of a pseudoaneurysm secondary to a surgical intervention in childhood that was treated with stent-assisted coiling. This strategy of vascular reconstruction is increasingly used in adults and appears safe to implement in the pediatric population. However, the long-term outcomes and the value of using an antiplatelet regimen in this young population are still to be determined. Copyright (C) 2012 S. Karger AG, Basel