[1]王卫东,孙宏亮,骆江红,等.覆膜支架腔内修复治疗颈动脉假性动脉瘤破裂出血[J].介入放射学杂志,2017,(01):15-19.
 WANG Wei- dong,SUN Hong- liang,LUO Jiang- hong,et al.Endovascular repair with covered stent for the treatment of ruptured carotid artery pseudoaneurysms[J].journal interventional radiology,2017,(01):15-19.
点击复制

覆膜支架腔内修复治疗颈动脉假性动脉瘤破裂出血 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年01期
页码:
15-19
栏目:
血管介入
出版日期:
2017-01-25

文章信息/Info

Title:
Endovascular repair with covered stent for the treatment of ruptured carotid artery pseudoaneurysms
作者:
王卫东 孙宏亮 骆江红 陈耀庭 倪嘉延 江雄鹰 陈 栋 黄巧胜 许林锋
Author(s):
WANG Wei- dong SUN Hong- liang LUO Jiang- hong CHEN Yao- ting NI Jia- yan JIANG Xiong- ying CHEN Dong HUANG Qiao- sheng XU Lin- feng
Department of Interventional Radiology, Sun Yat- Sen Memorial Hospital, Zhongshan University, Guangzhou, Guangdong Province 510288, China
关键词:
【关键词】 颈动脉损伤 假性动脉瘤 覆膜支架
文献标志码:
A
摘要:
【摘要】 目的 探讨覆膜支架腔内修复术治疗颈动脉假性动脉瘤破裂出血的效果及安全性。方法回顾性分析2009年7月至2015年7月中山大学孙逸仙纪念医院采用血管内覆膜支架植入术急诊救治的15例颈动脉假性动脉瘤破裂出血患者。其中直接外伤致颈总动脉假性动脉瘤1例,颈部手术致颈总动脉假性动脉瘤破裂1例,致颈内动脉假性动脉瘤破裂3例,鼻咽癌放疗后颈内动脉假性动脉瘤破裂10例。结果 15例患者均经覆膜支架腔内修复术得到成功救治,无即刻手术相关并发症及死亡发生。术后平均随访时间11个月,15例患者均无再次出血,临床随访期间无脑缺血并发症。结论 覆膜支架腔内修复术治疗颈动脉假性动脉瘤破裂出血创伤小、安全有效,可在封堵颈动脉破口的同时恢复头颈部正常血供,并发症少。但仍需更大样本量临床研究证实,进一步观察远期疗效。

参考文献/References:

[1] Schievink WI, Mokri B, Whisnant JP. Internal carotid artery dissection in a community. Rochester, Minnesota, 1987- 1992[J]. Stroke, 1993, 24: 1678- 1680.
[2] Biondi A. Intracranial aneurysms associated with other lesions,disorders or anatomic variations[J]. Neuroimaging Clin N Am, 2006, 16: 467- 482.
[3] Alexander MJ, Smith TP, Tucci DL. Treatment of an iatrogenic petrous carotid artery pseudoaneurysm with a Symbiot covered stent: technical case report[J]. Neurosurgery, 2002, 50: 658- 662.
[4] Fabian TC, Patton JH, Croce MA, et al. Blunt carotid injury. Importance of early diagnosis and anticoagulant therapy[J]. Ann Surg, 1996, 223: 513- 522.
[5] Kadyrov NA, Friedman JA, Nichols DA, et al. Endovascular treatment of an internal carotid artery pseudoaneurysm following transsphenoidal surgery.Case report[J]. J Neurosurg, 2002, 96: 624- 627.
[6] Charbel FT, Gonzales- Portillo G, Hoffman W, et al. Distal internal carotid artery pseudoaneurysms: technique and pitfalls of surgical management: two technical case reports[J]. Neurosurgery, 1999, 45: 643- 648.
[7] 李 生, 李宝民, 王 君, 等. 颈动脉损伤的血管内介入治疗[J]. 中华创伤杂志, 2008, 24: 383- 386.
[8] Bouthillier A, van Loveren HR, Keller JT. segments of the internal carotid artery: a new classification[J]. Neurosurgery, 1996, 38: 425- 432.
[9] 李玲波, 黄河清, 林 琳, 等. 介入治疗鼻咽癌放疗后双侧颈内动脉假性动脉瘤大出血一例[J]. 中华耳鼻咽喉头颈外科杂志, 2013, 48: 687- 688.
[10] 唐 隽, 陈伟雄, 刘悦胜. 介入治疗鼻咽癌放疗后颈内动脉假性动脉瘤破裂大出血[J]. 中国耳鼻咽喉颅底外科杂志, 2005, 11: 396- 399.
[11] Biffl WL, Moore EE, Offner PJ, et al. Blunt carotid arterial injuries: implications of a new grading scale[J]. J Trauma, 1999, 47: 845- 853.
[12] Wahl WL, Brandt MM, Thompson BG, et al. Antiplatelet therapy: an alternative to heparin for blunt carotid injury[J]. J Trauma, 2002, 52: 896- 901.
[13] 李红武, 刘业海, 臧 艳. 头颈部恶性肿瘤治疗后大出血成功救治体会[J]. 中华耳鼻咽喉头颈外科杂志, 2008, 43: 822- 825.
[14] Carter BS, Ogilvy CS, Putman C, et al. Selective use of extracranial- intracranial bypass as an adjunct to therapeutic internal carotid artery occlusion[J]. Clin Neurosurg, 2000, 46: 351- 362.
[15] Spacek M, Stechovsky C, Horvath M, et al. Evaluation of cerebrovascular reserve in patients undergoing carotid artery stenting and its usefulness in predicting significant hemodynamic changes during temporary carotid occlusion[J]. Physiol Res, 2016, 65: 71- 79.
[16] Bush RL, Lin PH, Dodson TF, et al. Endoluminal stent placement and coil embolization for the management of carotid artery pseudoaneurysms[J]. J Endovasc Ther, 2001, 8: 53- 61.
[17] Ahn JY, Han IB, Kim TG, et al. Endovascular treatment of intracranial vertebral artery dissections with stent placement or stent- assisted coiling[J]. AJNR Am J Neuroradiol, 2006, 27: 1514- 1520.
[18] Yu SC, Zhao JB. A steady flow analysis on the stented and non- stented sidewall aneurysm models[J]. Med Eng Phys, 1999, 21: 133- 141.
[19] Tsai YH, Wong HF, Weng HH, et al. Stent- graft treatment of traumatic carotid artery dissecting pseudoaneurysm[J]. Neurora- diology, 2010, 52: 1011- 1016.
[20] Li MH, Li YD, Gao BL, et al. A new covered stent designed for intracranial vasculature: application in the management of pseudoaneurysms of the cranial internal carotid artery[J]. AJNR Am J Neuroradiol, 2007, 28: 1579- 1585.
[21] 李志清, 梁国标, 王晓刚, 等. 覆膜支架治疗颅外段颈动脉创伤性假性动脉瘤[J]. 创伤外科杂志, 2013, 15: 292- 295.
[22] 徐高峰, Suh DC, Kim HS. 应用覆膜支架介入救治颈动脉破裂并假性动脉瘤[J]. 介入放射学杂志, 2006, 15: 142- 145.
[23] 王永利, 程永德, 李明华. 覆膜支架治疗颅内动脉疾病[J]. 介入放射学杂志, 2010, 19: 331- 336.
[24] Hoit DA, Schirmer CM, Malek AM. Stent graft treatment of cerebrovascular wall defects: intermediate- term clinical and angio- graphic results[J]. Neurosurgery, 2008, 62(5 Suppl 2): ONS380- ONS388.
[25] 朱悦琦, 李明华, 谢 剑, 等. Willis覆膜支架治疗犬颈内动脉虹吸段动脉瘤的影像学和组织病理学研究[J]. 介入放射学杂志, 2010, 19: 302- 308.
[26] Blasco J, Macho JM, Burrel M, et al. Endovascular treatment of a giant intracranial aneurysm with a stent- graft[J]. J Vasc Interv Radiol, 2004, 15: 1145- 1149.
[27] Gercken U, Lansky AJ, Buellesfeld L, et al. Results of the jostent coronary stent graft implantation in various clinical settings: procedural and follow- up results[J]. Catheter Cardiovasc Interv, 2002, 56: 353- 360.
[28] 孙贞魁, 李永东, 顾斌贤, 等. Willis覆膜支架与弹簧圈栓塞治疗颅段颈内动脉瘤效果的比较[J]. 中华放射学杂志, 2011, 45: 183- 188.
[29] Wang W, Li MH, Li YD, et al. Treatment of traumatic internal carotid artery pseudoaneurysms with the willis covered stent: a prospective study[J]. J Trauma, 2011, 70: 816- 822.

相似文献/References:

[1]席嘉元,吕梁,曹新华,等.颅外颈动脉瘤5例报告[J].介入放射学杂志,1999,(02):44.
[2]魏崇健,何洪林,乔英,等.创伤性假性动脉瘤与动静脉瘘的介入治疗(附25例报告)[J].介入放射学杂志,1999,(03):19.
[3]田建明,孙飞,叶华,等.医源性肝动脉瘤9例报告[J].介入放射学杂志,1992,(01):39.
[4]杨仁杰.内支架应用的几个问题[J].介入放射学杂志,1995,(04):187.
[5]冯健麟.创伤性血管瘤的介入治疗(附3例分析)[J].介入放射学杂志,1999,(04):225.
[6]王永利,陈济铭,刘利珍,等.术后腹腔干系假性动脉瘤介入治疗二例[J].介入放射学杂志,2011,(11):920.
 WANG Yong-li,CHEN Ji-ming,LIU Li-zhen,et al.Interventional management of pseudoaneurysms developed at celiac axis after surgery: report of 2 cases[J].journal interventional radiology,2011,(01):920.
[7]傅宇飞,魏宁,徐浩,等.布-加综合征介入治疗并发股动脉假性动脉瘤四例[J].介入放射学杂志,2013,(07):595.
 FU Yu? fei,WEI Ning,XU Hao,et al.Femoral artery pseudoaneurysm occurring in interventional therapy for Budd?蛳 Chiari syndrome: report of four cases[J].journal interventional radiology,2013,(01):595.
[8]许 敏,蒋天鹏,宋 杰,等.医用胶栓塞肾脏假性动脉瘤疗效分析[J].介入放射学杂志,2015,(06):472.
 XU Min,JIANG Tian - peng,SONG Jie,et al.Transcatheter arterial embolization with medical glue for the treatment of renal pseudoaneurysm: analysis of therapeutic effect[J].journal interventional radiology,2015,(01):472.
[9]周静文,陈德基,何明基,等.电解可脱式弹簧圈瘤腔栓塞术治疗移植肾吻合口假性动脉瘤[J].介入放射学杂志,2016,(01):19.
 ZHOU Jing- wen,CHEN De- ji,HE Ming- ji,et al.Application of the embolization therapy with guglielmi detachable coil in treating transplanted renal anastomotic pseudoaneurysm[J].journal interventional radiology,2016,(01):19.
[10]徐新建,吴 娟,朱 芮,等.子宫动脉假性动脉瘤经导管栓塞治疗2例[J].介入放射学杂志,2016,(10):877.
 XU Xin- jian,WU Juan,ZHU Rui,et al.Interventional transcatheter embolization for uterine artery pseudoaneurysm: report of two cases[J].journal interventional radiology,2016,(01):877.

备注/Memo

备注/Memo:
(收稿日期:2016-02-21)
(本文编辑:边 佶)
更新日期/Last Update: 2017-01-17