Fan Yang, Shilin Li, Yuanbing Chen, Jiayi Xie, Yi Liu, Fei Peng, Xuge Chen, Jiaxiang Xia, Boya Xu, Zhifei Wang, Jiaode Jiang, Aihua Liu
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引用次数: 0
Abstract
Background: Vertebral artery stenosis (VAS) and vertebral aneurysms are serious conditions that can be life-threatening and have a poor prognosis. The co-occurrence of VAS and a vertebral aneurysm is less common and more difficult to treat.
Observations: The authors report the case of a patient who presented with a rare occurrence of VAS combined with a vertebral aneurysm. The optimal treatment for both VAS and the vertebral aneurysm is intravascular therapy. Since the guidewire was unable to establish an effective channel, vertebral endarterectomy was performed in combination with endovascular treatment.
Lessons: A combination of vertebral endarterectomy and endovascular treatment can effectively manage the co-occurrence of VAS and a vertebral aneurysm. https://thejns.org/doi/10.3171/CASE2475.
背景：椎动脉狭窄（VAS）和椎动脉瘤都是可能危及生命且预后不良的严重疾病。椎动脉狭窄和椎体动脉瘤同时存在的情况并不多见，治疗起来也更加困难：作者报告了一例罕见的 VAS 合并椎体动脉瘤的患者。治疗 VAS 和椎体动脉瘤的最佳方法是血管内治疗。由于导丝无法建立有效通道，因此在进行椎动脉内膜切除术的同时进行了血管内治疗：https://thejns.org/doi/10.3171/CASE2475。
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