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首页> 外文期刊>Vascular and endovascular surgery >Endovascular Treatment of Concomitant Carotid Fibromuscular Dysplasia and Atherosclerotic Disease After Failed Open Surgical Treatment
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Endovascular Treatment of Concomitant Carotid Fibromuscular Dysplasia and Atherosclerotic Disease After Failed Open Surgical Treatment

机译：开放外科治疗失败后，血管内治疗伴随颈动脉纤维化发育不良和动脉粥样硬化疾病

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摘要

We describe a case of concomitant fibromuscular dysplasia (FMD) and atherosclerotic internal carotid artery (ICA) disease in a symptomatic patient. Sixty-eight-year-old female presented for evaluation of a transient ischemic attack. Imaging revealed severe proximal >80% ICA stenosis with severe FMD to mid and distal ICA. Planned hybrid approach with left carotid endarterectomy (CEA) and balloon angioplasty was aborted intraoperatively due to lack of back bleeding. Open gradual rigid dilation was then performed with resumption of back bleeding. Completion angiogram revealed widely patent flow through CEA patch with no residual defects. Patient awoke from operation neurologically intact. At 6-month follow-up, carotid duplex revealed severe recurrent ICA stenosis. Endovascular intervention was performed with balloon dilation to the proximal and mid-ICA with stenting of a moderate 60% ostial common carotid stenosis. She recovered well from procedure with 3-month carotid duplex showing widely patent common carotid stent and ICA with no areas of stenosis. Informed consent has been obtained from the patient for publication of the case report and accompanying images.
机译：我们描述了一种伴随纤维肌肉发育不良（FMD）和动脉粥样硬化内部颈动脉（ICA）疾病的情况。六十八岁女性介绍了评估瞬态缺血攻击。成像显示出严重的近端> 80％I​​CA狭窄，严重的FMD到中间和远端ICA。由于缺乏后出血，术术中，患有左颈外切除术（CEA）和球囊血管成形术的计划杂种方法。然后通过恢复出血来进行开放逐渐刚性扩张。完成血管造影显示通过CEA贴片的广泛专利流，没有残留缺陷。病人从操作中醒来神经根本上。在6个月的随访时，颈动脉双面透露了严重的反复性ICA狭窄。血管内干预是用球囊扩张到近端和中间ICA的腹腔干预，具有适度的60％封面颈狭窄的支架。她从手术中恢复过量，3个月的颈动脉双链体显示广泛的专利常见的颈动脉支架和ICA，没有狭窄的区域。已经从患者获得了知情同意，以出版案件报告和伴随的图像。

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