通过颈深动脉栓塞颅内椎动脉动脉瘤。

IF 0.9 4区 医学 Q4 CLINICAL NEUROLOGY Journal of neurological surgery. Part A, Central European neurosurgery Pub Date : 2024-07-01 Epub Date: 2024-02-12 DOI:10.1055/s-0044-1779473
Katharina Schulz, Dominik Grieb, Frederik Boxberg, Klaus Blaeser, Martin Scholz, Martin Schlunz-Hendann
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引用次数: 0

摘要

由于不寻常的血管解剖结构或传统血管内治疗技术的不可行性,椎动脉动脉瘤的治疗可能具有挑战性。我们描述了一种治疗颅内椎动脉动脉瘤破裂并伴有双侧椎动脉闭塞和后交通动脉发育不良的新型血管内治疗方法。通过颈深动脉和椎动脉之间的吻合,使用微导管的侧支途径成功进行了线圈栓塞。本病例报告强调了在血管闭塞或缺乏传统血管内通路的情况下,椎基底动脉瘤的一种新型替代性血管内治疗方法。
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Embolization of an Intracranial Vertebral Artery Aneurysm via the Deep Cervical Artery.

Treatment of vertebral artery aneurysms can be challenging due to the unusual vascular anatomy or unfeasibility of traditional endovascular techniques. We describe a novel approach for endovascular treatment of a ruptured intracranial vertebral artery aneurysm with bilateral vertebral artery occlusions and hypoplasia of the posterior communicating arteries. Successful coil embolization was performed using a collateral pathway for microcatheterization via anastomosis between the deep cervical artery and the vertebral artery. This case report highlights a novel alternative endovascular treatment approach for vertebrobasilar aneurysms in case of a poor vascular status with occlusion or lack of traditional endovascular access routes.

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来源期刊
CiteScore
2.30
自引率
0.00%
发文量
90
期刊介绍: The Journal of Neurological Surgery Part A: Central European Neurosurgery (JNLS A) is a major publication from the world''s leading publisher in neurosurgery. JNLS A currently serves as the official organ of several national neurosurgery societies. JNLS A is a peer-reviewed journal publishing original research, review articles, and technical notes covering all aspects of neurological surgery. The focus of JNLS A includes microsurgery as well as the latest minimally invasive techniques, such as stereotactic-guided surgery, endoscopy, and endovascular procedures. JNLS A covers purely neurosurgical topics.
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