CAJ | 학술논문

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 .
목적 보고1례사용복막지가치유경내동맥가성동맥류합병경내동맥해면두루(CCF).방법 환자인외상후우측상검하수、안기마비、안구돌출、결막수종2주래원,혈관조영현시:우측경내동맥해면두가성동맥류합병CCF,환자접수복막지가개입치료.결과 Jostent구낭확장지가치우동맥류경부,경반복확장후동맥류화CCF균불현영.술후환자회복량호.결론 진관Jostent복막지가용우로내혈관병적치료잉연존재일사문제,단위경내동맥해면두동맥류화CCF적개입치료제공료일충유효적방법 .
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.