外伤性颈内动脉假性动脉瘤的介入栓塞治疗(附2例报告)

Treatment of traumatic pseudoaneurysm of internal carotid artery (ICA) through interventional embolization: a report of 2 cases

目的探讨在数字减影血管造影(DSA)透视下用介入栓塞的方法治疗外伤性颈内动脉假性动脉瘤。方法对2例颅脑外伤合并严重鼻出血的患者进行DSA造影,证实有外伤性颈内动脉假性动脉瘤,并且经脑动脉环侧枝功能检测显示功能良好,均给予介入栓塞治疗。结果2例患者假性动脉瘤栓塞完全,栓塞术后脑血管造影显示脑动脉环侧枝功能良好,无任何并发症和后遗症。结论DSA透视下介入栓塞治疗是治疗外伤性颈内动脉假性动脉瘤首选方法。

Objective To explore the treatment of traumatic pseudoaneurysm in internal carotid artery(ICA) with interventional embolization under digital suhtraction angiography(DSA). Methods Two putieuts suffered from head trauma with serious epistaxis were managed by DSA.The traumatic pseudoaneurysms were found in ICA and were performed by the interventional embolization. Rusults 2 cases were cured, and no complication and sequelae were found. Conclusion The interventional embolization under DSA is the first-selected method of traumatic pseudoaneurysm in ICA.