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首页> 外文期刊>Journal of endovascular therapy: an official journal of the International Society of Endovascular Specialists >Emergent endovascular treatment of a spontaneous internal carotid artery dissection with pseudoaneurysm.
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Emergent endovascular treatment of a spontaneous internal carotid artery dissection with pseudoaneurysm.

机译：假性动脉瘤的自发颈内动脉夹层的紧急血管内治疗。

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PURPOSE: To report the use of a coronary stent-graft for the endovascular treatment of a spontaneous internal carotid artery (ICA) dissection complicated by a large pseudoaneurysm. CASE REPORT: A 68-year-old man presented to an outside hospital with complaints of headache, severe left-sided neck pain, fever, chills, and vomiting. Contrast-enhanced computed tomography revealed a large (3.5x3 cm) extracranial aneurysm of the left ICA. The patient was emergently transferred to our facility for endovascular treatment of the carotid aneurysm. Via a percutaneous access in the right common femoral artery, 2 Jostent coronary stent-grafts were deployed across the aneurysm with no evidence of a residual pseudoaneurysm. The patient was hemodynamically stable throughout the procedure. Duplex examination at 9 months revealed no evidence of a residual pseudoaneurysm, dissection, or endoleak. CONCLUSIONS: Covered coronary stents may have a role in the treatment of spontaneous ICA dissection with pseudoaneurysm formation.
机译：目的：报道使用冠状动脉支架移植物进行自发性颈内动脉（ICA）解剖并发大假性动脉瘤的血管内治疗。病例报告：一名68岁的男子因头痛，严重的左侧颈部疼痛，发烧，发冷和呕吐而到一家外部医院就诊。对比增强的计算机体层摄影术显示左ICA有较大的（3.5x3 cm）颅外动脉瘤。该患者紧急转移到我们的设施内进行颈动脉瘤的血管内治疗。通过右股总动脉的经皮通路，在整个动脉瘤中部署了2枚Jostent冠状动脉支架移植物，没有残留假性动脉瘤的证据。该患者在整个手术过程中血液动力学稳定。在9个月时进行了双重检查，没有发现残留的假性动脉瘤，解剖或内漏的迹象。结论：冠状动脉覆膜支架在假性动脉瘤形成的自发性ICA剥离中可能发挥作用。

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