Wrap-clipping with polytetrafluoroethylene for ruptured blisterlike aneurysms of the internal carotid artery
Wrap-clipping with polytetrafluoroethylene for ruptured blisterlike aneurysms of the internal carotid artery
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DOI：
10.3171/jns.2006.105.5.785
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发表时间：
2006-11-01
影响因子：
4.1
通讯作者：
Ogawa, Akira
中科院分区：
文献类型：
--
作者：
Kubo, Yoshitaka;Ogasawara, Kuniaki;Ogawa, Akira
本文介绍一种应用聚四氟乙烯（PTFE）包裹夹闭动脉瘤治疗颈内动脉床突上段破裂的泡状动脉瘤的方法。术中测量沿伊卡长轴的异常动脉病变沿着的直径以及眼动脉起点与后交通动脉（PCoA）起点之间的距离，或PCoA起点与脉络膜前动脉起点之间的距离;然后用剪刀修剪一条PTFE膜以匹配该直径和距离。在暂时闭塞颈段伊卡后，用PTFE条包裹包括病变的颅内伊卡，并平行于伊卡应用一个或多个动脉瘤夹。在6名患者中成功完成了该手术，所有患者的术后病程均顺利，随访期间未复发蛛网膜下腔出血。使用PTFE的“包裹夹闭”是治疗伊卡破裂的水泡样动脉瘤的有用手术。
A technique combining wrapping and clip occlusion of aneurysms by using polytetrafluoroethylene (PTFE) for treatment of ruptured blisterlike aneurysms of the supraclinoid internal carotid artery (ICA) is described. The diameter of the abnormal arterial lesion along the long axis of the ICA and the distance between the origin of the ophthalmic artery and the origin of the posterior communicating artery (PCoA), or the origin of the PCoA and the origin of the anterior choroidal artery are measured intraoperatively; a strip of PTFE membrane is then trimmed with scissors to match this diameter and distance. After temporarily occluding the cervical ICA, the intracranial ICA that includes the lesion is wrapped with the strip of PTFE, and one or more aneurysm clips are applied parallel to the ICA. This procedure was successfully accomplished in six patients, all of whom had an uneventful postoperative course with no recurrent subarachnoid hemorrhage during the follow-up period. "Wrap-clipping" using PTFE is a useful procedure for management of ruptured blisterlike aneurysms of the ICA.