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首页> 外文期刊>脳神経外科 >An aneurysm located at a fenestration of the vertebrobasilar junction successfully treated with Guglielmi detachable coils
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An aneurysm located at a fenestration of the vertebrobasilar junction successfully treated with Guglielmi detachable coils

机译：位于椎体梭内交界处的开窗的动脉瘤成功地用Guglielmi可拆卸线圈成功处理

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摘要

A 35-year-old female developed a subarachnoid hemorrhage from an aneurysm located at the fenestration of the vertebrobasilar (VB) junction. The patient was treated with Guglielmi detachable coils (GDCs). The aneurysm was successfully occluded using 8 coils despite the fact that 2 major complications occurred during the procedure: perforation of the aneurysm with a coil and thrombosis of the parent artery. The GDC that had perforated the aneurysm was left and remained partially in the subarachnoid space, and embolization was continued. The thrombus was mechanically crushed and dissolved. Forty days postoperatively, the patient was discharged home with minimal sequelae. VB junction fenestration is present in 35.5%-70% of VB junction aneurysms, but fenestration of the VB junction is sometimes overlooked on selective angiography. Careful pre-operative assessment is needed for aneurysms at the VB junction. The international subarachnoid aneurysm trial (ISAT) found that endovascular treatment was superior tosurgery in the management of ruptured aneurysms. Nevertheless, thromboembolic complications and perforation are associated with coil embolization. Thus, care should be taken to avoid these complications, and it is indispensable to have appropriate treatment options immediately available to deal with them should they occur.
机译：一位35岁的女性从位于椎体（VB）交界处的开窗的动脉瘤中开发了蛛网膜下腔出血。患者用Guglielmi可拆卸线圈（GDC）进行处理。由于在程序期间发生了2个主要并发症，因此有8个线圈成功封闭了动脉瘤：具有线圈的动脉瘤的穿孔和母动动脉的血栓形成。留下了穿孔的GDC留下并留在蛛网膜下腔空间中，继续栓塞。血栓机械压碎并溶解。术后四十天，患者用最小的后遗症排出回家。 vb结衰生在35.5％-70％的VB结动脉瘤中存在，但VB交界处的失败有时会在选择性血管造影上被忽略。 VB交界处的动脉瘤需要仔细的术前评估。国际蛛网膜下腔动脉瘤试验（ISAT）发现，血管内治疗在破裂动脉瘤的管理中是优越的泌尿科。然而，血栓栓塞并发症和穿孔与线圈栓塞有关。因此，应注意避免这些并发症，并且应该在发生适当的治疗方案时不可或缺的是，他们应该发生处理它们。

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