覆膜支架治疗颈内动脉假性动脉瘤合并海绵窦瘘一例报告并文献复习

目的 报告1例使用覆膜支架治愈颈内动脉假性动脉瘤合并颈内动脉海绵窦瘘(CCF).方法 患者因外伤后右侧上睑下垂、眼肌麻痹、眼球突出、结膜水肿2周来院,血管造影显示:右侧颈内动脉海绵窦假性动脉瘤合并CCF,患者接受覆膜支架介入治疗.结果 Jostent球囊扩张支架置于动脉瘤颈部,经反复扩张后动脉瘤和CCF均不显影.术后患者恢复良好.结论 尽管Jostent覆膜支架用于颅内血管病的治疗仍然存在一些问题,但为颈内动脉海绵窦动脉瘤和CCF的介入治疗提供了一种有效的方法 .

Treatment of carotid artery pseudoaneurysm associated with a CCF with covered stent, a case report and literature review

Objective We present one case of cavernous carotid artery aneurysm associated with a CCF which was successfully treated with covered stent Method A 18 - year - old man presented with a 2 weeks of progressive right - sided ptosis, ophthalmoplegia and proptosis, chetnosis after severe head trauma. A cerebral angiogram demonstrated a right ruptured cavernous carotid artery aneurysm associated CCF. The patient was treated with covered stent. Results A balloon expanded Jostent stent graft was placed across the aneurismal neck and expanded. Immediate angiogram demonstrated an endoleak around the stent. After repositioned the balloon and re - expended, the complete obliteration of aneurysm and shunt was achieved. The postoperative course was uneventful. Conclusions Although the current - generation Jostent stent graft remained some problems in the treatment of cerebral vascular diseases, covered stent provided a valuable approach for the treatment of cavernous carotid artery aneurysm and CCF.