[1]王武,李明华,李永东,等.Willis覆膜支架治疗外伤性颈内动脉假性动脉瘤的中期随访[J].介入放射学杂志,2010,(04):257.
 WANG Wu,LI Minghua,LI Yongdong,et al.Treatment of traumatic internal carotid artery pseudoaneurysms with Willis covered stents:a mid-term follow-up result[J].journal interventional radiology,2010,(04):257.
点击复制

Willis覆膜支架治疗外伤性颈内动脉假性动脉瘤的中期随访()

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:
2010年04期
页码:
257
栏目:
神经介入
出版日期:
2010-04-15

文章信息/Info

Title:
Treatment of traumatic internal carotid artery pseudoaneurysms with Willis covered stents:a mid-term follow-up result
作者:
王武李明华李永东
200233上海交通大学附属第六人民医院放射科
Author(s):
WANG Wu LI Ming-huaLI Yong-dongGU Bin-xianFANG ChunTAN Hua-qiaoWANG JuZHANG Pei-lei.
the Affiliated Sixth People’s Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai200233,China
关键词:
创伤性脑损伤假性动脉瘤Willis覆膜支架颈内动脉
分类号:
R743.4
摘要:
目的评价Willis覆膜支架治疗外伤性颈内动脉假性动脉瘤的疗效和中期预后。方法在38例头颈部外伤患者的脑血管造影中发现了13例、14枚延迟性颈内动脉假性动脉瘤,所有假性动脉瘤使用Willis覆膜支架治疗,术后1、3、6和12个月随访脑血管造影,分为完全闭塞和不完全闭塞;临床症状随访分为完全恢复、明显改善、无明显改善和恶化。结果所有病例成功植入Willis覆膜支架,术中无一例出现并发症。最初9例假性动脉瘤完全闭塞,4例不完全闭塞;3~12个月随访造影显示12例假性动脉瘤完全闭塞,所有病例颈内动脉通畅,无明显支架内狭窄。临床随访11例完全恢复,1例改善,1例无明显改善;无致残和致死病例。结论Willis覆膜支架治疗外伤性颈内动脉假性动脉瘤是切实可行的,能够很好地保留载瘤动脉。

参考文献/References:

[1]Cogbill TH,Moore EE,Meissner M,et al.The spectrum of blunt injury to the carotid artery:a multicenter perspective[J].J Trauma ,1994,37:473-479.
[2]Larson PS,Reisner A,Morassutti DJ ,et al.Traumatic intracranial aneurysms [J].Neurosurg Focus,2000,8:e4.
[3]Fleischer AS,Guthkelch AN.Management of high cervical-intracranial internal carotid artery traumatic aneurysms [J].J Trauma ,1987,27:330-332.
[4]Layton KF,Kim YW,Hise JH.Use of covered stent grafts in the extracranial carotid artery:report of three patients with follow-up between8and42months[J].AJNR,2004,25:1760-1763.
[5]Akiyama Y,Nakahara I,Tanaka M,et al.Urgent endovascular stent-graft placement for a ruptured traumatic pseudoaneurysm of the extracranial carotid artery[J].J Trauma ,2005,58:624-627.
[6]ul Haq T,Yaqoob J,Munir K,et al.Endovascular-covered stent treatment of posttraumatic cervical carotid artery pseudo-aneurysms [J].Australas Radiol,2004,48:220-223.
[7]Maras D,Lioupis C,Magoufis G,et al.Covered stent-graft treatment of traumatic internal carotid artery pseudoaneurysms :a review[J].Cardiovasc Intervent Radiol,2006,29:958-968.
[8]Patel JV,Rossbach MM,Cleveland TJ ,et al.Endovascular stent-graft repair of traumatic carotid artery pseudoaneurysm[J].Clin Radiol,2002,57:308-311.
[9]Li MH,Gao BL,Wang YL,et al.Management of pseudoaneu-rysms in the intracranial segment of the internal carotid artery with covered stents specially designed for use in the intracranial vasculature:technical notes[J].Neuroradiology,2006,48:841-846.
[10]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,2007,28:1579-1585.
[11]Li MH,Zhu YQ,Fang C,et al.The feasibility and efficacy of treatment with a Willis covered stent in recurrent intracranial aneurysms after coiling[J].AJNR,2008,29:1395-1400.
[12]Bouthillier A,van Loveren HR,Keller JT.Segments of the internal carotid artery:a new cla ssification[J].Neurosurgery,1996,38:425-432.
[13]Redekop G,Marotta T,Weill A.Treatment of traumatic aneurysms and arteriovenous fistulas of the skull base by usingendovascular stents[J].J Neurosurg,2001,95:412-419.
[14]Matsuura JH,Rosenthal D,Jerius H,et al.Traumatic carotid artery dissection and pseudoaneurysm treated with endovascular coils and stent [J].J Endovasc Surg,1997,4:339-343.
[15]Felber S,Henkes H,Weber W,et al.Treatment of extracranial and intracranial aneurysms and arteriovenous fistulae using stent grafts[J].Neurosurgery,2004,55:631-638.
[16]Perez-Cruet MJ ,Patwardhan RV,Mawad ME,et al.Treatment of dissecting pseudoaneurysm of the cervical internal carotid artery using a wall stent and detachable coils:case report[J].Neuro surgery,1997,40:622-625.
[17]Lempert TE,Halbach VV,Higashida RT,et al.Endovascular treatment of pseudo aneurysms with electrolytically detachable coils[J].AJNR,1998,19:907-911.
[18]Coldwell DM,Novak Z,Ryu RK,et al.Treatment of posttrau-matic internal carotid arterial pseudoaneurysms with endovascular stents[J].J Trauma ,2000,48:470-472.
[19]Klein GE,Szolar DH,Raith J,et al.Posttraumatic extracranial aneurysm of the internal carotid artery:combined endovascular treatment with coils and stents[J].AJNR,1997,18:1261-1264.
[20]Ramos A,Tobio R,Ley E,et al.Traumatic aneurysm of the internal carotid artery:a late finding presenting as a mass in the sphenoid sinus[J].AJNR,1996,17:222-225.
[21]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.
[22]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.
[23]Mokri B.Traumatic and spontaneous extracranial internal carotid artery dissections[J].J Neurol,1990,237:356-361.
[24]Prêtre R,Kürsteiner K,Reverdin A,et al.Blunt carotid artery injury:devastating consequences of undetected pseudoaneurysm[J].J Trauma ,1995,39:1012-1014.
[25]Chen D,Concus AP,Halbach VV,et al.Epistaxis originating from traumatic pseudoaneurysm of the internal carotid artery:diagnosis and endovascular therapy[J].Laryngoscope,1998,108:326-331.
[26]Auyeung KM,Lui WM,Chow LC,et al.Massive epistaxis related to petrous carotid artery pseudoaneurysm after radiation therapy:emergency treatment with covered stent in two cases[J].AJNR,2003,24:1449-1452.
[27]Zanini MA,Tahara A,Santos GS,et al.Pseudoaneurysm of the internal carotid artery presenting with massive(recurrent )epistaxes:a life-threatening complication of craniofacial trauma [J].Arq Neuropsiquiatr,2008,66:268-271.
[28]Larson JJ,Tew JM Jr,Tomsick TA,et al.Treatment of aneurysms of the internal carotid artery by intravascular balloon occlusion:long-term follow-up of58patients[J].Neurosurgery,1995,36:26-30.
[29]Timperman PE,Tomsick TA,Tew JM Jr,et al.Aneurysm formation after carotid occlusion[J].AJNR,1995,16:329-331.
[30]Hori Y,Kiyosue H,Kashiwagi J,et al.Double stent technique for the treatment of an internal carotid artery pseudoaneurysm caused by zoneⅢstab injury[J].J Vasc Interv Radiol,2007,18:1300-1304.
[31]Cohen JE,Gomori JM,Segal R,et al.Results of endovascular treatment of traumatic intracranial aneurysms [J].Neurosurgery,2008,63:476-485.
[32]Hoit DA,Schirmer CM,Malek AM.Stent graft treatment of cerebrovascular wall defects:intermediate-term clinical and angiographic results[J].Neurosurgery,2008,62:ONS380-388.
[33]Scavée V,De Wispelaere JF,Mormont E,et al.Pseudoaneurysm of the internal carotid artery:treatment with a covered stent [J].Cardiovasc Intervent Radiol,2001,24:283-285.
[34]Kubaska SM3rd,Greenberg RK,Clair D,et al.Internal carotid artery pseudoaneurysms :treatment with the Wallgraft endoprosthesis[J].J Endovasc Ther,2003,10:182-189.
[35]Archondakis E,Pero G,Valvassori L,et al.Angiographic follow-up of traumatic carotid cavernous fistulas treated with endovascular stent graft placement [J].AJNR,2007,28:342-347.
[36]Saatci I,Cekirge HS ,Ozturk MH,et al.Treatment of internal carotid artery aneurysms with a covered stent :experience in24patients with mid-term follow-up results[J].AJNR,2004,25:1742-1749.
[37]Kocer N,Kizilkilic O,Albayram S,et al.Treatment of iatrogenic internal carotid artery laceration and carotid cavernous fistula with endovascular stent-graft placement [J].AJNR,2002,23:442-446.
[38]Gomez F,Escobar W,Gomez AM,et al.Treatment of carotidcavernous fistulas using covered stents:midterm results in seven patients[J].AJNR,2007,28:1762-1768.
[39]Islak C,Kocer N,Albayram S,et al.Bare stent-graft technique:a new method of endoluminal vascular reconstruction for the treatment of giant and fusiform aneurysms [J].AJNR,2002,23:1589-1595.
[40]Cil BE,Akpinar E,Peynircioglu B,et al.Utility of covered stents for extracranial internal carotid artery stenosis[J].AJNR,2004,25:1168-1171.
[41]Reiter BP,Marin ML ,Teodorescu VJ ,et al.Endoluminal repair of an internal carotid artery pseu doaneurysm[J].J Vasc Interv Radiol,1998,9:245-248.
[42]Marotta TR,Buller C,Taylor D,et al.Autologous vein-covered stent repair of a cervical internal carotid artery pseudoaneurysm:technical case report[J].Neurosurgery,1998,42:408-412.
[43]Alimi YS,Di Mauro P,Fiacre E,et al.Blunt injury to the internal carotid artery at the base of the skull:six cases of venous graft restoration[J].J Vasc Surg,1996,24:249-257.
[44]Duane TM,Parker F,Stokes GK,et al.Endovascular carotid stenting after trauma [J].J Trauma ,2002,52:149-153.
[45]Li MH,Li YD,Fang C,et al.Endovascular treatment of giant or very large intracranial aneurysms with different modalities:an analysis of20cases[J].Neuroradiology,2007,49:819-828.
[46]Wang JB,Li MH,Fang C,et al.Endovascular treatment of giant intracranial aneurysms with willis covered stents:technical case report[J].Neurosurgery,2008,62:E1176-1177.
[47]李永乐,李明华,方淳,等.颅内巨大或大型动脉瘤的血管内治疗:三种技术的比较[J].介入放射学杂志,2006,15:707-712.

相似文献/References:

[1]刘文贵,梁定,郭山峰,等.肢体及肾脏假性动脉瘤的介入治疗[J].介入放射学杂志,2008,(05):365.
 LIU Wengui,LIANG Ding,GUO Shanfeng,et al.Interventional therapy of pseudoaneurysm in extremities or kidneys[J].journal interventional radiology,2008,(04):365.
[2]陈怀瑞,白如林,黄承光,等.创伤性颈动脉海绵窦瘘合并蝶窦假性动脉瘤的诊断和治疗[J].介入放射学杂志,2008,(08):543.
 CHEN Huairui,BAI Rulin,HUANG Chengguang,et al.Diagnosis and treatment of traumatic carotid cavernous fistula combined with sphenoid sinus pseudoaneurysm[J].journal interventional radiology,2008,(04):543.
[3]李天晓,白卫星,翟水亭,等.颅底动脉损伤的介入治疗[J].介入放射学杂志,2008,(08):535.
 LI Tianxiao,BAI Weixing,ZAI Suiting,et al.Endovascular treatment for arterial injuries of skull base[J].journal interventional radiology,2008,(04):535.
[4]明建中,孙冰,曾志斌,等.外科手术后假性动脉瘤的介入治疗[J].介入放射学杂志,2010,(02):132.
 MING Jianzhong,SUN Bing,ZENG Zhibin,et al.Interventional therapy of pseudoaneurysms occurred after surgery[J].journal interventional radiology,2010,(04):132.
[5]敖国昆,王金河,梁建芹,等.肺结核空洞内巨大肺动脉假性动脉瘤一例[J].介入放射学杂志,2010,(06):469.
 AO Guokun,WANG Jinhe,LIANG Jianqin,et al.Giant pulmonary artery pseudoaneurysm within a pulmonary tuberculous cavity:repot of one case[J].journal interventional radiology,2010,(04):469.
[6]卫任,熊江,郭伟,等.覆膜支架腔内治疗外伤性胫前动脉假性动脉瘤一例[J].介入放射学杂志,2010,(09):676.
 WEI Ren,XIONG Jiang,GUO Wei,et al.Endovascular covered stent-graft repair of traumatic pseudoaneurysm of anterior tibial artery:report of one case[J].journal interventional radiology,2010,(04):676.
[7]郭喜田,赵永生,杨海山,等.巨大假性动脉瘤的留置导管分次栓塞治疗一例[J].介入放射学杂志,1998,(03):191.
[8]王勇,梁惠民,郑传胜,等.急性胰腺炎出血的血管造影诊断及经导管栓塞治疗[J].介入放射学杂志,2006,(04):218.
 WANG Yong,LIANG Hui-ming,ZHENG Chuan-sheng,et al.Diagnosis and treatment of acute pancreatitis associated with bleeding via angiography and transcatheter embolization[J].journal interventional radiology,2006,(04):218.
[9]田红燕,刘亚,马强,等.纤维蛋白封闭剂治疗多破口复杂假性动脉瘤一例并文献复习[J].介入放射学杂志,2009,(03):223.
 TIAN Hongyan,LIU Ya,MA Qiang,et al.Treatment of multi-ruptured complex pseudoaneurysm with injection of fibrin sealant into lumens :report of one case with literature review[J].journal interventional radiology,2009,(04):223.
[10]罗国新,向定成,王莎莎,等.Angioseal治疗难治性股动脉假性动脉瘤二例[J].介入放射学杂志,2011,(01):74.
 LUO Guo-xin,XIANG Ding-cheng,WANG Sha-sha,et al.Treatment of refractory femoral artery pseudoaneurysm with angioseal: report of two cases[J].journal interventional radiology,2011,(04):74.

备注/Memo

备注/Memo:
收稿日期:2010-02-04
更新日期/Last Update: 2010-04-15