Combined endovascular stent implantation and endosaccular coil placement for the treatment of a wide-necked vertebral artery aneurysm: technical case report.
Combined endovascular stent implantation and endosaccular coil placement for the treatment of a wide-necked vertebral artery aneurysm: technical case report.
复制标题
联合血管内支架植入和囊内弹簧圈放置治疗宽颈椎动脉瘤：技术案例报告。
作者：
L. Sekhon;M. Morgan;W. Sorby;V. Grinnell
目标和重要性
我们描述了一个病例，在人类的联合应用血管内支架植入和电解可脱弹簧圈包装在管理宽颈颅内动脉瘤。
临床表现
一名56岁的女性患有继发于左侧椎动脉大宽颈动脉瘤的蛛网膜下腔出血。由于动脉瘤瘤颈的尺寸及其钙化程度在计算机断层扫描上很明显，因此认为其不适合手术干预或传统的血管内弹簧圈栓塞术。相反，采用了联合手术和血管内治疗。
干预
通过手术暴露左侧椎动脉并插管，以允许在动脉瘤瘤颈上放置血管内支架，作为支撑物，可以将Guglielmi可解脱弹簧圈包装在支撑物上。病人没有因为这一手术而受到任何不良影响，并缓慢但稳定地恢复。
结论
本报告描述了1例宽颈颅内动脉瘤，采用跨动脉瘤颈的血管内支架植入和球囊内弹簧圈置入相结合的方法进行治疗，以闭塞动脉瘤。所描述的技术提供了另一种治疗方法，以更好地管理可能不适合夹闭的颅内宽颈动脉瘤这一困难实体。
OBJECTIVE AND IMPORTANCE
We describe a case in humans of the combined application of endovascular stent placement and Guglielmi detachable coil packing in the management of a wide-necked intracranial aneurysm.
CLINICAL PRESENTATION
A 56-year-old woman suffered a subarachnoid hemorrhage secondary to a large wide-necked left vertebral artery aneurysm. Because of the size of the neck of the aneurysm and the extent of its calcification evident on computed tomographic scans, it was deemed unsuitable for surgical intervention or for conventional endovascular coiling. Instead, a combined surgical and endovascular therapy was instituted.
INTERVENTION
The left vertebral artery was surgically exposed and cannulated to allow for the placement of an endovascular stent across the neck of the aneurysm to act as a buttress against which Guglielmi detachable coils could be packed. The patient suffered no ill effects as a result of this procedure and made a slow but steady recovery.
CONCLUSION
This report describes a case of a wide-necked intracranial artery aneurysm treated using a combination of endovascular stent implantation across an aneurysm neck and endosaccular coil placement to obliterate the aneurysm. The technique described provides another treatment to better manage the difficult entity of wide-necked intracranial aneurysms that may be unsuitable for clipping.
影响因子：
4.1
作者：
GUGLIELMI, G;VINUELA, F;SEPETKA, I
通讯作者：
SEPETKA, I
电可脱线圈颅内动脉瘤的血管内闭塞：动脉瘤颈大小与治疗结果的相关性。
DOI：
--
发表时间：
1994
期刊：
AJNR. American journal of neuroradiology
影响因子：
--
作者：
FernandezZubillaga,A;Guglielmi,G;Viñuela,F;Duckwiler,GR
通讯作者：
Duckwiler,GR