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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Endovascular treatment of a lenticulostriate artery aneurysm with N-butyl cyanoacrylate.
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Endovascular treatment of a lenticulostriate artery aneurysm with N-butyl cyanoacrylate.

机译：氰基丙烯酸正丁酯对微囊动脉瘤的血管内治疗。

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摘要

BACKGROUND: Aneurysms arising from lenticulostriate artery branches in moyamoya-type disease are challenging lesions to treat, due to their fragility and deep location. Surgery is difficult and endovascular options may be limited. METHODS: A 57-year-old woman presented with a right ganglionic parenchymal hemorrhage due to a ruptured lenticulostriate artery aneurysm associated with ipsilateral middle cerebral artery occlusion. The aneurysm and parent feeding artery were occluded using endovascular injection of N-butyl cyanoacrylate. RESULTS: The aneurysm was successfully obliterated and although some glue did enter the more distal middle cerebral artery, there was no change in the patient's neurologic status. CONCLUSIONS: In highly selected cases where lenticulostriate aneurysms cannot be directly accessed for surgery or endovascular coiling, obliteration with liquid acrylic glue may be considered as a therapeutic option.
机译：背景：烟雾病类型的扁豆状动脉分支引起的动脉瘤由于其脆弱性和深处而难以治疗。手术困难，血管内选择可能受到限制。方法：一名57岁妇女因同侧大脑中动脉闭塞引起的小腿动脉动脉瘤破裂而出现右神经节实质出血。使用血管内注射氰基丙烯酸正丁酯闭塞动脉瘤和母体供血动脉。结果：动脉瘤已被成功清除，尽管一些胶确实进入了大脑中部远端动脉，但患者的神经系统状况没有改变。结论：在不能直接进行手术或血管内盘绕的小腿状动脉瘤的高度选择的病例中，液态丙烯酸胶水闭塞可能被认为是一种治疗选择。

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