逆行置放分流治疗颈内巨动脉瘤。

IF 3 3区 医学 Q2 CLINICAL NEUROLOGY Journal of Neuroradiology Pub Date : 2024-02-01 DOI:10.1016/j.neurad.2023.11.001
Haoyu Zhu , Shikai Liang , Yupeng Zhang , Chuhan Jiang
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引用次数: 0

摘要

血流分流器的应用已被证实可用于治疗巨大的颈内动脉瘤。然而,在某些复杂的情况下,支架微导管穿过颈部的导航可能会带来相对的挑战。1-3在这段技术视频(视频1)中,我们介绍了一位50多岁的患者左眼不适的病例。血管造影发现在左颈内动脉眼段有一个巨大的动脉瘤。在本院就诊前,患者进行了两次介入手术,均因微导管难以通过动脉瘤颈部而失败。4-5在我们的治疗中,在多次逆行尝试失败后,我们采用了椎-基底-后交通动脉路线的逆行策略。这种方法促进了分流器的成功部署,并导致了有效的动脉瘤栓塞,强调了逆行技术在具有挑战性的病例中的价值。
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Retrograde placement of flow diversion for the treatment of giant internal carotid artery aneurysm

The use of flow diverters has been well-validated for the treatment of giant internal carotid artery aneurysms. However, in certain complex cases, the navigation of stent microcatheters across the neck may pose a relative challenge.1, 2, 3 In this technical video (video 1), we present the case of a patient in their 50s experiencing discomfort in the left eye. Angiography identified a giant aneurysm in the ophthalmic segment of the left internal carotid artery. Before seeking care at our institution, the patient had two interventional procedures, both unsuccessful due to difficulties in navigating the microcatheter past the aneurysm neck.4, 5 In our management, after multiple unsuccessful anterograde attempts, we employed a retrograde strategy via the vertebral-basilar-posterior communicating artery route. This approach facilitated the successful deployment of the flow diverter and led to effective aneurysm embolization, underscoring the value of retrograde techniques for challenging cases.

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来源期刊
Journal of Neuroradiology
Journal of Neuroradiology 医学-核医学
CiteScore
6.10
自引率
5.70%
发文量
142
审稿时长
6-12 weeks
期刊介绍: The Journal of Neuroradiology is a peer-reviewed journal, publishing worldwide clinical and basic research in the field of diagnostic and Interventional neuroradiology, translational and molecular neuroimaging, and artificial intelligence in neuroradiology. The Journal of Neuroradiology considers for publication articles, reviews, technical notes and letters to the editors (correspondence section), provided that the methodology and scientific content are of high quality, and that the results will have substantial clinical impact and/or physiological importance.
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