首页> 外文期刊>Journal of clinical neuroscience: official journal of the Neurosurgical Society of Australasia >Successful treatment of a blood blister-like aneurysm of the internal carotid artery by trapping with a high-flow bypass.
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Successful treatment of a blood blister-like aneurysm of the internal carotid artery by trapping with a high-flow bypass.

机译:通过高流量旁路诱捕成功治疗了颈内动脉的水泡样动脉瘤。

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摘要

Treatment of blood blister-like aneurysms of the internal carotid artery (ICA) is difficult because the wall of the aneurysm is fragile and there is a high risk of rebleeding. There has been no consensus on the best way to treat these aneurysms. A 32-year-old woman presented with subarachnoid hemorrhage (SAH) caused by a ruptured blood blister-like aneurysm of the ICA. The site of the aneursym was clipped. Although angiography 1week after the operation showed that the aneurysm had been treated successfully, 3 weeks after the initial operation, the aneurysm was found to have recurred to the distal side. In a second operation, the aneurysm was successfully treated by trapping with a high-flow bypass. This case shows that clipping of the rupture site can be insufficient to treat blood blister-like aneurysm of the ICA causing SAH, even if the aneurysm seems to have resolved in follow-up angiographic studies. Trapping of the ICA with a bypass, if necessary a high-flow bypass, is recommended.
机译:由于动脉瘤壁易碎并且有再出血的高风险,因此很难治疗颈内动脉血泡样动脉瘤。关于治疗这些动脉瘤的最佳方法尚未达成共识。一名32岁妇女因ICA的水泡样动脉瘤破裂而出现蛛网膜下腔出血(SAH)。动脉瘤的部位被剪掉了。尽管术后1周血管造影显示动脉瘤已成功治疗,但在初次手术后3周,发现动脉瘤已复发至远端。在第二次手术中,通过高流量旁路诱捕成功地治疗了动脉瘤。该病例表明,即使在后续的血管造影研究中似乎已经解决了动脉瘤的破裂,也不能充分切除破裂部位以治疗引起SAH的ICA的水疱样动脉瘤。建议使用旁路诱捕ICA,如有必要,建议使用高流量旁路。

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