[1]陈 卫,王 煊,姚善文.医源性颈动脉夹层2例报道并文献复习 [J].介入放射学杂志,2019,28(04):376-378.
 CHEN Wei,WANG Xuan,YAO Shanwen..Iatrogenic carotid artery dissection: report of 2 cases with literature review[J].journal interventional radiology,2019,28(04):376-378.
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医源性颈动脉夹层2例报道并文献复习 
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
28
期数:
2019年04期
页码:
376-378
栏目:
临床研究
出版日期:
2019-04-25

文章信息/Info

Title:
Iatrogenic carotid artery dissection: report of 2 cases with literature review
作者:
陈 卫 王 煊 姚善文
Author(s):
CHEN Wei WANG Xuan YAO Shanwen.
Department of Interventional Radiology, Affiliated Huai’an First People’s Hospital, Nanjing Medical University, Huai’an, Jiangsu Province 223300, China
关键词:
【关键词】 医源性 颈动脉夹层 并发症
文献标志码:
A
摘要:
【摘要】 目的 报道医源性颈动脉夹层2例,结合文献复习提高对此病的认识。方法 回顾性分析2例患者颅内动脉瘤血管内介入栓塞术后颈动脉DSA造影表现。结果 2例颅内动脉瘤介入栓塞患者术后DSA造影复查显示动脉瘤栓塞良好,未见复发征象,但发现颈动脉血管夹层,造影表现为静脉期动脉壁对比剂滞留及双腔征,2例患者均无临床症状。结论 医源性颈动脉夹层临床不常见,此病具有特征性影像学表现,比较容易诊断,且大多无临床表现,发现后应密切随访,防止出现严重后果。

参考文献/References:

[1] 张 瑜, 牛小媛. 颈动脉夹层危险因素及其研究新进展[J]. 中华临床医师杂志?电子版, 2016, 10: 2667- 2670.
[2] Rahme RJ, Aoun SG, McClendon J, et al. Spontaneous cervical and cerebral arterial dissections: diagnosis and management[J]. Neuroimaging Clin N Am, 2013, 23: 661671.
[3] Cohen JE, Gomori JM, Itshayek E, et al. Single- center experience on endovascular Reconstruction of traumatic internal carotid artery dissections[J]. J Trauma Acute Care Surg, 2012, 72: 216- 221.
[4] Cloft HJ, Jensen ME, Kallmes DF, et al. Arterial dissections complicating cerebral angiography and cerebrovascular interven- tions[J]. AJNR Am J Neuroradiol, 2000, 21: 541- 545.
[5] Fifi JT, Meyers PM, Lavine SD, et al. Complications of modern diagnostic cerebral angiography in an academic medical center[J]. J Vasc Interv Radiol, 2009, 20: 442- 447.
[6] Anzidei M, Napoli A, Zaccagna F, et al. Diagnostic accuracy of colour Doppler ultrasonography, CT angiography and blood- pool- enhanced MR angiography in assessing carotid stenosis: a comparative study with DSA in 170 patients[J]. Radiol Med, 2012, 117: 54- 71.
[7] Groves AP, Kansagra AP, Cross DT, et al. Acute management and outcomes of iatrogenic dissections during cerebral angiography[J]. J Neurointerv Surg, 2017, 9: 499- 501.
[8] Goeggel Simonetti B, Hulliger J, Mathier E, et al. Iatrogenic vessel dissection in endovascular treatment of acute ischemic stroke[J]. Clin Neuroradiol, 2017, 2: 1- 9.
[9] 郭仕峰, 庄肃敬, 许跃龙, 等. 自发性颅外段颈内动脉夹层八例的诊断及介入治疗[J]. 介入放射学杂志, 2014, 23: 937- 940.
[10] 段祥攻, 武 晔, 吴 芳, 等. 高分辨力MR血管壁成像技术在头颈动脉夹层诊断中的应用价值[J]. 国际医学放射学杂志, 2017, 40: 516- 519.
[11] 刘 娟, 周华东, 崔 敏, 等. 血管内支架植入治疗颈部动脉夹层瘤39例[J]. 介入放射学杂志, 2013, 22: 767- 771.

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备注/Memo

备注/Memo:
(收稿日期:2018-06-04)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2019-04-09