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Endovascular treatment of direct carotid cavernous fistula resulting from rupture of intracavernous carotid aneurysm: A case report
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作者 Guang Ouyang Kai-Li Zheng +3 位作者 Kuan Luo Mu Qiao Yuan Zhu De-Rui Pan 《World Journal of Clinical Cases》 SCIE 2024年第11期1940-1946,共7页
BACKGROUND Direct carotid cavernous fistulas(CCFs)are typically the result of a severe traumatic brain injury.High-flow arteriovenous shunts secondary to rupture of an intracavernous aneurysm,resulting in direct CCFs,... BACKGROUND Direct carotid cavernous fistulas(CCFs)are typically the result of a severe traumatic brain injury.High-flow arteriovenous shunts secondary to rupture of an intracavernous aneurysm,resulting in direct CCFs,are rare.The use of a pipeline embolization device in conjunction with coils and Onyx glue for treatment of direct high-flow CCF resulting from ruptured cavernous carotid artery aneurysm in a clinical setting is not well documented.CASE SUMMARY A 58-year-old woman presented to our department with symptoms of blepharoptosis and intracranial bruits for 1 wk.During physical examination,there was right eye exophthalmos and ocular motor palsy.The rest of the neurological examination was clear.Notably,the patient had no history of head injury.The patient was treated with a pipeline embolization device in the ipsilateral internal carotid artery across the fistula.Coils and Onyx were placed through the femoral venous route,followed by placement of the pipeline embolization device with assistance from a balloon-coiling technique.No intraoperative or perioperative complications occurred.Preoperative symptoms of bulbar hyperemia and bruits subsided immediately after the operation.CONCLUSION Pipeline embolization device in conjunction with coiling and Onyx may be a safe and effective approach for direct CCFs. 展开更多
关键词 Intravascular therapy carotid cavernous fistulas Intracavernous carotid aneurysms Case report
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Massive Epistaxis Revealing a Post-Traumatic Aneurysm of the Internal Carotid Artery: A Clinical Case and Review of the Literature
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作者 Yannick Mossus Maguy Mbede +5 位作者 Roger Meva’a Biouélé Leonel Atanga Adèle-Rose Ngo Nyeki Pierre Ongolo Zogo François Djomou Alexis Ndjolo 《International Journal of Otolaryngology and Head & Neck Surgery》 2024年第2期120-125,共6页
Internal carotid artery (ICA) aneurysms are an unusual but serious cause of epistaxis. This epistaxis is massive and sometimes uncontrollable threatening the vital prognosis of patients. We report the case of a 16-yea... Internal carotid artery (ICA) aneurysms are an unusual but serious cause of epistaxis. This epistaxis is massive and sometimes uncontrollable threatening the vital prognosis of patients. We report the case of a 16-year-old adolescent received in emergency with severe bilateral epistaxis, asthenia and grade-3 left exophthalmos. In his history, the subject had been the victim of an assault six months before consultation. He had received blows on the cephalic extremity with light but repeated epistaxis. The treatment consisted to blood products transfusion and local compression by sterile gazes. An ICA aneurysm in sphenoid sinus has been confirmed in a craniofacial CT scan coupled to vascular opacification. Although the ICA has a variable course in contact with the sphenoid sinus, massive epistaxis would be the consequence of a pronounced dehiscence of the ICA in the sphenoid sinus, particularly in a traumatic context. In front of this type of epistaxis in our context, general practitioners must be able to suspect a ruptured ICA aneurysm in the presence of exophthalmos and a notion of old or recent cranio-encephalic injury. Additionally, due to the high morbidity and mortality of this condition, a monitoring algorithm is necessary for patients with head trauma to facilitate early detection. 展开更多
关键词 aneurysm Internal carotid Artery Head Trauma EPISTAXIS
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Fatal Cataclysmic Otorrhagia and Epistaxis Due to a Ruptured Aneurysm of the Petrous Internal Carotid Artery: A Case Report
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作者 Abdou Sy Mouhamadou Diouldé Diallo +2 位作者 Khadim Diouf Papa Ibrahima Ndiaye Barrière Moussa Diallo 《International Journal of Otolaryngology and Head & Neck Surgery》 2023年第5期341-346,共6页
Background: Aneurysms of the internal carotid artery within the petrous temporal bone are extremely rare;their true incidence is unknown. The exact cause is unclear: they may be congenital or result from trauma, infec... Background: Aneurysms of the internal carotid artery within the petrous temporal bone are extremely rare;their true incidence is unknown. The exact cause is unclear: they may be congenital or result from trauma, infection, or radiation. Aim: We report a case of massive otorrhagia and epistaxis from a ruptured aneurysm of the petrous internal carotid artery. Case Presentation: A 34-year-old man presented to our department for the first time with repeated left otorrhagia ongoing for 5 years, left sided pulsatile tinnitus and left conductive hearing loss. In his history, we noted a right hemi-corporeal deficit of sudden onset one month ago and the head-CT showed a left frontoparietal subarachnoid hemorrhage without any visualised vascular malformation. Otomicroscopy showed a pulsatile mass visible at the posterior part of the hypotympanum. There was a right-sided hemiparesis estimated at 2/5 with no disorder of the sensitivity. After hemodynamic stabilization, the patient was discharged from the hospital and treatment was scheduled in interventional radiology and neurosurgery unit. Unfortunately the patient presented at home with a cataclysmic hemorrhage by massive otorrhagia and epistaxis and arrived dead at the emergency unit. Conclusion: The treatment of a petrous carotid aneurysm must be carried out quickly considering the risk of rupture leading to a cataclysmic hemorrhage that can be rapidly life threatening. 展开更多
关键词 aneurysmS Petrous Internal carotid Artery Otorrhagia Pulsatile Tinnitus
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Influence of postural changes on haemodynamics in internal carotid artery bifurcation aneurysm using numerical methods 被引量:1
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作者 Raghuvir Pai Ballambat Mohammad Zuber +5 位作者 Shah Mohammed Abdul Khader Anurag Ayachit Kamarul Arifin bin Ahmad Rajanikanth ao Vedula Sevagur Ganesh Kamath Ibrahim Lutfi Shuaib 《Visual Computing for Industry,Biomedicine,and Art》 EI 2022年第1期128-143,共16页
Cerebral intracranial aneurysms are serious problems that can lead to stroke,coma,and even death.The effect of blood flow on cerebral aneurysms and their relationship with rupture are unknown.In addition,postural chan... Cerebral intracranial aneurysms are serious problems that can lead to stroke,coma,and even death.The effect of blood flow on cerebral aneurysms and their relationship with rupture are unknown.In addition,postural changes and their relevance to haemodynamics of blood flow are difficult to measure in vivo using clinical imaging alone.Computational simulations investigating the detailed haemodynamics in cerebral aneurysms have been developed in recent times not only to understand the progression and rupture but also for clinical evaluation and treatment.In the present study,the haemodynamics of a patient-specific case of a large aneurysm on the left side internal carotid bifurcation(LICA)and no aneurysm on the right side internal carotid bifurcation(RICA)was investigated.The simulation of these patient-specific models using fluid–structure interaction provides a valuable comparison of flow behavior between normal and aneurysm models.The influences of postural changes were investigated during standing,sleeping,and head-down(HD)position.Significant changes in flow were observed during the HD position and quit high arterial blood pressure in the internal carotid artery(ICA)aneurysm model was established when compared to the normal ICA model.The velocity increased abruptly during the HD position by more than four times(LICA and RICA)and wall shear stress by four times(LICA)to ten times(RICA).The complex spiral flow and higher pressures prevailing within the dome increase the risk of aneurysm rupture. 展开更多
关键词 carotid aneurysm ANSYS fluid-structure interaction Altered gravity HAEMODYNAMICS
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Prolactinoma coexisting with cerebrospinal fluid rhinorrhea and cavernous internal carotid aneurysm: Case report and literature review 被引量:1
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作者 Zhijun Yang Zhenmin Wang +2 位作者 Peng Li Qiangyi Zhou Pinan Liu 《Translational Neuroscience and Clinics》 2016年第4期231-235,共5页
Pituitary adenoma coexisting with cerebrospinal fluid(CSF) rhinorrhea and carotid aneurysm is extremely rare. CSF rhinorrhea may cause pneumocephalus and intracranial infection. Rupture of the aneurysm may cause fatal... Pituitary adenoma coexisting with cerebrospinal fluid(CSF) rhinorrhea and carotid aneurysm is extremely rare. CSF rhinorrhea may cause pneumocephalus and intracranial infection. Rupture of the aneurysm may cause fatal consequence. The authors report such a rare case to draw more attentions. A 55-year-old man presented with sexual dysfunction for 2 years. The serum prolactin was tested as 1,600 ng/ml(normal range, 1.39–24.2). Enhanced cranial MR showed an evident lesion at the sellar area, invading the right cavernous sinus. Prolactinoma was diagnosed. He took bromocriptine for one year and received gamma knife therapy thereafter. Four months after the treatment of gamma knife, he got CSF rhinorrhea and nasal bleeding. The endoscopic transnasalsphenoidal approach was performed to resect the tumor and repair the dura defect.The CSF rhinorrhea stopped after the surgery, however his nasal bleeding continued. The digital subtraction angiography(DSA) showed an aneurysm at the right cavernous internal carotid. The endovascular coil embolization was performed to treat the aneurysm. The patient recovered well. The coexistence of CSF rhinorrhea and pituitary adenoma is a high risk factor for the rupture of cavernous internal carotid aneurysm. When treating patients with pituitary adenoma and CSF rhinorrhea, doctors should exclude the aneurysm. When nasal bleeding occurs, the hemorrhage of internal carotid should be considered, and appropriate measures should be taken immediately. 展开更多
关键词 PROLACTINOMA cerebrospinal fluid rhinorrhea carotid artery aneurysm EPISTAXIS
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Extracranial Internal Carotid Artery (ICA) Aneurysm Repair and End to End Anastamosis of the Artery
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作者 Murali Vettath Madhu Ravisankar +1 位作者 Kannan Av Nitin Gangadharan 《World Journal of Cardiovascular Diseases》 2019年第4期295-299,共5页
We present a case of extracranial internal carotid artery (ICA) aneurysm, which presented as an inflammatory submandibular swelling in the upper part of the right side of the neck. The lack of frank pulsatility and si... We present a case of extracranial internal carotid artery (ICA) aneurysm, which presented as an inflammatory submandibular swelling in the upper part of the right side of the neck. The lack of frank pulsatility and signs of inflammation though was a bit confusing, the Doppler and CT angiogram clinched the diagnosis. We were able to surgically resect and reform the ICA using the native vessel itself, which is an unusual technique, which we thought was worth presenting. 展开更多
关键词 Internal carotid ARTERY aneurysm REPAIR
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Resolution of Symptoms after Parent Artery Occlusion Treatment for Giant Cavernous Carotid Artery Aneurysms
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作者 Zenghui Qian Tangming Peng +6 位作者 Wenjun Ji Jing Wu Huibin Kang Xiaolong Wen Wenjuan Xu Aihua Liu Youxiang Li 《World Journal of Neuroscience》 2014年第4期334-340,共7页
Background and Objective: Giant cavernous carotid artery aneurysms (CCAAs) often produce a variety of neurological deficits, primarily those related to ophthalmoplegia/paresis and headache. This study was designed to ... Background and Objective: Giant cavernous carotid artery aneurysms (CCAAs) often produce a variety of neurological deficits, primarily those related to ophthalmoplegia/paresis and headache. This study was designed to evaluate the resolution of symptoms after parent artery occlusion (PAO) treatment for giant CCAAs. Methods: We retrospectively reviewed a series of 17 consecutive giant CCAAs treated with PAO treatment. All patients were evaluated by balloon occlusion test (BOT) before treatment. Patients who could tolerate BOT were treated by PAO. The following outcomes were analyzed: angiographic assessment, evolution of symptoms and outcome at clinical follow-up using modified Rankin Scale (mRS). Results: A total number of 17 giant CCAAs were treated by PAO. The initial post-procedure and follow-up angiogram revealed complete occlusion in all patients, no new lesion was detected. Periprocedural infarcts occurred in 1 patient (5.9%). Procedure-related mortality and morbidity were 0% and 5.9%, respectively. At mean 31.8 months clinical follow-up, symptoms had disappeared in 7 (41.2%) of the patients, partially improved in 5 (29.4%), remained unchanged in 4 (23.5%) and worsened in 1 (5.9%) of cases. Sixteen (94.1%) patients presented a good clinical outcome (mRS 0 - 1). Conclusion: Most patients in our series improved or remained stable after PAO. The results of this study indicate that PAO can improve the outcome of those symptomatic giant CCAAs if BOT can be tolerated. 展开更多
关键词 Giant CAVERNOUS carotid ARTERY aneurysmS Parent ARTERY OCCLUSION
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Investigation of the direct microsurgery of ICCA aneurysms via the carotid artery-cavernous sinus space approach
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作者 孙丕通 《外科研究与新技术》 2003年第2期99-99,共1页
Objective To discuss the approach and technique of the direct microsurgery of intracavemous sinus carotid artery aneurysms (ICCAAns). Methods All the 15 cases of ICCAAns underwent the direct microsurgery via the carot... Objective To discuss the approach and technique of the direct microsurgery of intracavemous sinus carotid artery aneurysms (ICCAAns). Methods All the 15 cases of ICCAAns underwent the direct microsurgery via the carotid artery-cavernous sinus space approach. Results Immediate carotid arteriography after the surgery showed that the aneurysms disappeared and the carotid artery could be showed clearly and normall. In a follow up period ranged frcm 1 months to 9 years,it was showed that,among 5 cases with 333,IV,V a,VI nerve paralysis before the surgery, three completely recovered,one recovered incompletely. All patients regained the capability of undertaking mormal cativities. None experienced rebleeding or neuroparalysis. Conclusion Direct microsurgery via this is approach is an ideal treatment of ICCAAns. 6 refs. 展开更多
关键词 of Investigation of the direct microsurgery of ICCA aneurysms via the carotid artery-cavernous sinus space approach
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Giant aneurysm at the junction of the internal carotid and persistent primitive trigeminal artery (PPTA) treated with endovascular GDC coiling, a case report of experience in Ramathibodi hospital
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作者 P. Jiarakongmun S. Pongpech J. Suvikrom 《介入放射学杂志》 CSCD 2004年第S1期86-87,共2页
关键词 PPTA treated with endovascular GDC coiling a case report of experience in Ramathibodi hospital Giant aneurysm at the junction of the internal carotid and persistent primitive trigeminal artery
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评估血清Tenascin-C作为急性主动脉夹层动脉瘤患者生物标志物的临床研究
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作者 常冬庆 叶尔买克·唐沙哈尔 +2 位作者 邵劲杰 张晓猛 买买提艾力·艾则孜 《中国循证心血管医学杂志》 2024年第9期1096-1100,共5页
目的肌腱蛋白C(Tenascin-C,TNC)与心血管疾病的不良预后和重大心血管事件的发生有关。本研究旨在评估TNC在作为急性主动脉夹层动脉瘤(AAD)生物标志物方面的价值。方法回顾性纳入2021年5月至2022年3月于新疆维吾尔自治区人民医院心脏及... 目的肌腱蛋白C(Tenascin-C,TNC)与心血管疾病的不良预后和重大心血管事件的发生有关。本研究旨在评估TNC在作为急性主动脉夹层动脉瘤(AAD)生物标志物方面的价值。方法回顾性纳入2021年5月至2022年3月于新疆维吾尔自治区人民医院心脏及泛血管医学诊疗中心心脏外一科接受治疗的120例AAD患者(AAD组,Stanford A型或B型,均在突发疼痛症状后24 h内入院),另选同时期107例颈动脉狭窄(CAS)患者作为CAS组,120例健康志愿者作为正常对照组。术前、急诊开胸手术后第1、3、7、14 d检测AAD组患者血清TNC水平,与另外两组血清进行比较。主要研究终点为术后60 d短期生存结局。结果与正常对照组相比,AAD组患者术前血清TNC水平显著升高(P<0.001),且StanfordA型患者术前血清TNC水平较B型患者更高(P<0.05)。术后第3 d,AAD组患者血清TNC水平较术前下降(P<0.05),术后第14 d时与正常对照组比较,差异无统计学意义[119.26(71.31,157.14)pg/ml vs.117.83(84.04,134.07)pg/ml,Z=-0.873,P=0.383]。与正常对照组比较,CAS组患者血清TNC水平显著升高(P<0.001),且与颈动脉狭窄程度呈正相关(r=0.279,P=0.004)。根据受试者工作特征曲线,术前血清TNC预测AAD的曲线下面积(AUC)为0.731;预测CAS的AUC为0.671。血清TNC可良好区分AAD患者和CAS患者,AUC为0.816。23例AAD患者术后60 d内死亡,根据术前血清TNC水平ROC曲线临界值(172.74pg/ml)分层,AAD患者的短期生存率与术前血清TNC水平有关(logrank=3.706,P=0.047)。结论血清TNC水平可作为急性主动脉夹层动脉瘤潜在的诊断和预后生物标志物。 展开更多
关键词 急性主动脉夹层动脉瘤 颈动脉狭窄 诊断 预后
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Rupture of a True Aneurysm of the Posterior Meningeal Artery at Its Anomalous Origin from the Internal Carotid Artery: Case Report
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作者 Jawad Tadili Nabil Moatassim Billah +4 位作者 Meryem Fikri Moulay Rachid El Hassani Ittimad Nassar Ali Kettani Mamoun Faroudi 《Open Journal of Clinical Diagnostics》 2016年第3期36-41,共7页
The posterior meningeal artery (PMA) usually originates from the third segment of the vertebral artery. Many variations in its origin and course have been observed;however, as far as we know, the association of true a... The posterior meningeal artery (PMA) usually originates from the third segment of the vertebral artery. Many variations in its origin and course have been observed;however, as far as we know, the association of true aneurysm of the PMA and its anomalous origin from the internal carotid artery has not been reported previously. We reported the case of a 59-year-old woman who suddenly presented a loss of consciousness without head trauma, computed tomography (CT) revelated intracerebellous hematoma associated with a subarachnoid hemorrhage of the posterior cerebral fossa. Cerebral angiography demonstrated a true aneurysm of the PMA which originated from the internal carotid artery. 展开更多
关键词 Non Traumatic True aneurysm Posterior Meningeal Artery (PMA) Internal carotid Artery Subarachnoid Hemorrhage Intracerebellar Hematoma
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基于双向流固耦合分析载瘤对颈动脉血管发展及影响
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作者 冉鹏 张焜林 李闽氚 《医用生物力学》 CAS CSCD 北大核心 2024年第4期699-705,共7页
目的研究带有囊形瘤体的颈动脉血管在血液周期性流动过程中的力学特性和瘤体变化,探究囊形瘤体发展的具体机制以及瘤体对血液流动的影响。方法采用双向流固耦合方法对颈动脉血管内囊形瘤体和血液之间的相互作用进行有限元数值仿真研究... 目的研究带有囊形瘤体的颈动脉血管在血液周期性流动过程中的力学特性和瘤体变化,探究囊形瘤体发展的具体机制以及瘤体对血液流动的影响。方法采用双向流固耦合方法对颈动脉血管内囊形瘤体和血液之间的相互作用进行有限元数值仿真研究。分析血管的形变、关键区域的血液速度和力学特性以及瘤体对血管的影响过程。结果在瘤体与血管的交界线上,瘤体呈现较大的形变,瘤体壁面压力低。瘤体对侧血管壁和血管分叉周围的三角区域壁面压力高,易于发生拉伸或破裂。瘤体内部血液速度明显低于正常血管,形成的漩涡使瘤体内部空间未能被充分利用。瘤体在脉动周期内所受的壁面剪切力一直较小,容易导致杂质沉积形成粥样硬化斑块。结论囊形瘤体会干扰血管内血液正常流动;囊形瘤体会促进镜像瘤体产生。研究结果为囊形瘤体的治疗和预防提供理论参考。通过了解囊形瘤体的力学特性和对血管的影响,医生可以更好地制定个性化的治疗方案,提高治疗效果。 展开更多
关键词 囊形瘤体 双向流固耦合 血液流动 载瘤颈动脉
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手术治疗颅外段弓上动脉瘤的单中心经验
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作者 杨根欢 廖鹏志 +3 位作者 刘新农 汪岩 贾玉龙 沈晨阳 《中国医学科学院学报》 CAS CSCD 北大核心 2024年第4期554-559,共6页
目的探讨手术治疗颅外段弓上动脉瘤的临床疗效并总结其治疗经验。方法收集首都医科大学附属北京天坛医院血管外科2019年5月至2023年11月收治的10例颅外段弓上动脉瘤患者的临床资料,其中颈内动脉瘤5例、锁骨下动脉瘤2例、椎动脉瘤2例、... 目的探讨手术治疗颅外段弓上动脉瘤的临床疗效并总结其治疗经验。方法收集首都医科大学附属北京天坛医院血管外科2019年5月至2023年11月收治的10例颅外段弓上动脉瘤患者的临床资料,其中颈内动脉瘤5例、锁骨下动脉瘤2例、椎动脉瘤2例、颈内动脉瘤合并同侧锁骨下动脉瘤1例。回顾性分析颅外段弓上动脉瘤的手术指征、手术策略、临床疗效及相关并发症。结果10例患者均顺利完成手术,手术时间60~420 min,中位手术时间180.0(121.5,307.5)min。术中出血30~400 mL,中位出血量90(50,125)mL。颈动脉阻断时间10~20 min,中位阻断时间15.0(11.5,16.3)min。椎动脉阻断时间20~30 min,中位阻断时间25.0(15.0,22.5)min。围手术期均无心脏意外、脑梗死及脑出血发生。10例患者获随访3~58个月,中位随访时间8.5(5.3,17.0)个月。1例锁骨下动脉瘤患者术后20个月出现人工血管闭塞。1例颈内动脉瘤患者术后6个月出现远端颈内动脉狭窄。结论颅外段弓上动脉瘤应积极采取手术治疗,需根据不同的病变情况采取个体化的手术策略。 展开更多
关键词 弓上动脉瘤 颈动脉瘤 椎动脉瘤 锁骨下动脉瘤 手术治疗
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颈内动脉颅外段动脉瘤诊治的研究进展
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作者 汤轶 徐剑峰 王艺璇 《中国脑血管病杂志》 CAS CSCD 北大核心 2024年第1期70-72,F0003,共4页
颈内动脉颅外段动脉瘤(EICA)作为一种少见病变,占所有外周动脉瘤的0.4%~4.0%。相较于其他部位的外周动脉瘤,EICA引发卒中事件的概率更高,治疗难度更大。准确诊断并提供正确的治疗措施是治疗EICA的关键。该文简要综述了EICA的病因、临床... 颈内动脉颅外段动脉瘤(EICA)作为一种少见病变,占所有外周动脉瘤的0.4%~4.0%。相较于其他部位的外周动脉瘤,EICA引发卒中事件的概率更高,治疗难度更大。准确诊断并提供正确的治疗措施是治疗EICA的关键。该文简要综述了EICA的病因、临床表现、诊断和治疗方式以及值得关注的新技术、新进展。 展开更多
关键词 动脉瘤 诊断 治疗 颈内动脉颅外段动脉瘤 综述
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间接手术技术治疗颈内动脉巨大动脉瘤:一项单中心、回顾性队列研究
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作者 丁茂华 佟小光 《中国神经精神疾病杂志》 CAS CSCD 北大核心 2024年第7期415-422,共8页
目的间接手术(脑血管搭桥术)治疗颈内动脉巨大动脉瘤(giant internal carotid aneurysms,GICAs)单中心经验总结。方法回顾性分析本中心2016年5月至2023年5月期间,应用间接手术技术治疗GICAs患者的临床预后。对于球囊闭塞试验阴性的GICA... 目的间接手术(脑血管搭桥术)治疗颈内动脉巨大动脉瘤(giant internal carotid aneurysms,GICAs)单中心经验总结。方法回顾性分析本中心2016年5月至2023年5月期间,应用间接手术技术治疗GICAs患者的临床预后。对于球囊闭塞试验阴性的GICAs患者,采用颈内动脉(internal carotid artery,ICA)缩窄术联合/不联合颞浅动脉-大脑中动脉搭桥术(superficial temporal artery-middle cerebral artery,STA-MCA)。对于球囊闭塞实验阳性的GICAs患者,采用ICA结扎术联合高流量搭桥术(external carotid artery-radial artery-middle cerebral artery/M2,ECA-RA-M2)。全脑血管造影记录患者术前术后O’Kelly-Marotta(OKM)分级,及动脉瘤最大直径变化。随访患者术前、术后改良Rankin评分(modified Rankin scale,mRS)及临床症状变化,以评估间接手术治疗GICAs的安全性与有效性。结果共有22例患者纳入本研究,接受ICA缩窄联合/不联合STA-MCA搭桥术的患者为16例,接受ICA结扎术联合高流量搭桥术的患者为6例。50%(11/22)的患者术后OKM分级达到C/D级,与术前相比,存在统计学差异(P<0.001)。术后或末次影像学随访结果显示19例患者的颅内动脉瘤缩小,2例保持不变,1例增大,较术前存在统计学差异(t=5.439,P<0.001)。至随访末,22例患者mRS评分较术前下降,且存在统计学差异(t=2.531,P=0.019)。结论在神经介入时代,间接术式仍然是治疗难治性或复发性GICAs的一种重要补充术式。 展开更多
关键词 颈内动脉巨大动脉瘤 颈内动脉缩窄术 颈内动脉结扎术 脑血管重建术 病例回顾性研究
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颈总动脉穿刺取栓治疗右侧大脑中动脉急性闭塞合并隐匿镜像动脉瘤一例
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作者 蒋金杉 赵睛灵 +2 位作者 聂柯 周伟 袁正洲 《中国脑血管病杂志》 CAS CSCD 北大核心 2024年第1期46-48,58,共4页
合并大脑中动脉镜像动脉瘤的急性缺血性卒中患者较为少见,对颅内大血管闭塞合并隐匿动脉瘤患者进行取栓手术的风险高,易导致动脉瘤破裂从而严重影响患者的救治及预后。西南医科大学附属医院神经内科于2021年8月8日收治了1例右侧大脑中... 合并大脑中动脉镜像动脉瘤的急性缺血性卒中患者较为少见,对颅内大血管闭塞合并隐匿动脉瘤患者进行取栓手术的风险高,易导致动脉瘤破裂从而严重影响患者的救治及预后。西南医科大学附属医院神经内科于2021年8月8日收治了1例右侧大脑中动脉急性闭塞合并隐匿镜像动脉瘤患者,因股动脉入路建立通路困难,后改为通过颈总动脉入路进行机械取栓治疗。作者总结该例患者诊治过程的病历资料并结合文献报道进行分析,以期为临床实践提供参考。 展开更多
关键词 脑梗死 取栓 动脉瘤 颈动脉入路
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Vocal Cord Paralysis Secondary to Carotid Artery Dissection: A Case Report
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作者 Ethel Nkechi Chime Peter Ekpunobi Chime John C. Eze 《Journal of Biosciences and Medicines》 2022年第3期8-12,共5页
Background and Objective: Vocal cord paralysis results in impairment of breathing and/or speech. One of the causes of vocal cord paralysis is the disruption of vagus nerve innervation to the vocal cords by the mass ef... Background and Objective: Vocal cord paralysis results in impairment of breathing and/or speech. One of the causes of vocal cord paralysis is the disruption of vagus nerve innervation to the vocal cords by the mass effect of a neighbouring structure. We report a rare case of vocal cord paralysis secondary to internal carotid artery dissection. Method: The diagnosis was based on clinical history, physical examination and imaging studies. Literature review was done. Case Report: This was a 53-year-old female with a history of unremitting, progressive hoarseness and mild dysphagia to liquid, who was clinically found to have impaired left vocal cord mobility, a left-sided pulsatile neck mass and left carotid artery dissection based on imaging studies. Symptoms abated after conservative treatment with Aspirin and she has remained symptom free since two years of follow-up. Conclusion: Vocal cord paralysis can be a consequence of carotid artery dissection causing mass effect on the vagus nerve. Thus, carotid artery dissection should not be forgotten as a possible cause of vocal cord paralysis in some cases of vocal cord paralysis of uncertain etiology. Treatment with anti-platelet drug can bring about resolution of symptoms and return of vocal cord mobility. 展开更多
关键词 Vocal Cord Paralysis Internal carotid Artery Dissection/aneurysm
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垂体腺瘤术后患者颈内动脉假性动脉瘤破裂出血的护理 被引量:1
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作者 陈爱琴 陈红艳 周琴 《中华急危重症护理杂志》 CSCD 2023年第7期625-627,共3页
总结1例垂体腺瘤术后患者继发颈内动脉假性动脉瘤破裂出血的护理体会。针对术后出现鼻腔大量出血的护理问题,采取制订和启动抢救预案、维持血压稳定、加强专科护理以及强化护患沟通等措施。通过紧急救护和精心护理,患者转危为安,术后第2... 总结1例垂体腺瘤术后患者继发颈内动脉假性动脉瘤破裂出血的护理体会。针对术后出现鼻腔大量出血的护理问题,采取制订和启动抢救预案、维持血压稳定、加强专科护理以及强化护患沟通等措施。通过紧急救护和精心护理,患者转危为安,术后第21天康复出院。 展开更多
关键词 垂体腺瘤 颈内动脉破裂 动脉瘤 假性 出血 急症护理
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颅内动脉瘤患者颈内动脉虹吸部解剖特点及其与动脉瘤破裂的关联性研究
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作者 杨潇 国晶晶 +3 位作者 刘松 田健 赵一樊 田超 《中国临床新医学》 2023年第4期379-383,共5页
目的探讨颅内动脉瘤患者颈内动脉虹吸部解剖特点及其与动脉瘤破裂的关联性。方法回顾性分析2019年10月至2021年11月天津市环湖医院收治的172例颅内动脉瘤患者的病历资料,根据患者动脉瘤破裂情况将其分为破裂组(67例)和未破裂组(105例)... 目的探讨颅内动脉瘤患者颈内动脉虹吸部解剖特点及其与动脉瘤破裂的关联性。方法回顾性分析2019年10月至2021年11月天津市环湖医院收治的172例颅内动脉瘤患者的病历资料,根据患者动脉瘤破裂情况将其分为破裂组(67例)和未破裂组(105例)。比较两组一般临床资料、动脉瘤的形态和位置,以及动脉瘤测量指标和颅内动脉瘤所在侧的颈内动脉虹吸部的测量指标。结果两组年龄、性别、高血压史、糖尿病史、吸烟史、饮酒史比较差异均无统计学意义(P>0.05)。破裂组动脉瘤形态不规则的比例显著高于未破裂组(47.76%vs 8.57%,P<0.05)。破裂组颈内动脉虹吸部的前弯角和前上弯角大于未破裂组,差异有统计学意义(P<0.05)。二元多因素logistic回归分析结果显示,动脉瘤形态不规则(OR=5.722)和较大的颈内动脉虹吸部前弯角(OR=1.195)是促进动脉瘤发生破裂的危险因素(P<0.05)。ROC曲线分析结果显示,颈内动脉虹吸部前弯角>29.38°时提示颅内动脉瘤发生破裂的可能性显著增大。结论颅内动脉瘤形态不规则和颈内动脉虹吸部前弯角增大是颅内动脉瘤破裂的独立危险因素,临床医师应注意高危患者的筛查,及时予以干预。 展开更多
关键词 颅内动脉瘤 破裂 颈内动脉虹吸部
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颈内动脉狭窄伴未破裂颅内动脉瘤患者的临床特点及危险因素 被引量:1
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作者 张斌 《内科急危重症杂志》 2023年第1期23-25,共3页
目的:探讨颈内动脉狭窄伴未破裂颅内动脉瘤患者的动脉瘤特点及危险因素。方法:选择颈内动脉狭窄患者120例,其中合并未破裂颅内动脉瘤患者10例为观察组,其余110例患者为对照组。分析观察组患者的动脉瘤特点及危险因素。结果:观察组共检... 目的:探讨颈内动脉狭窄伴未破裂颅内动脉瘤患者的动脉瘤特点及危险因素。方法:选择颈内动脉狭窄患者120例,其中合并未破裂颅内动脉瘤患者10例为观察组,其余110例患者为对照组。分析观察组患者的动脉瘤特点及危险因素。结果:观察组共检测到动脉瘤11个,1例(10%)患者存在2个动脉瘤,其余均为单一动脉瘤;1例(10%)患者动脉瘤直径为7 mm,9例(90%)患者动脉瘤直径为1~4mm;动脉瘤位于椎基底动脉尖1例(10%),位于颈内动脉系统9例(90%);动脉瘤与狭窄位于同一血管者有8例(80%);位于不同血管者有2例(20%);2组年龄、颈内动脉狭窄程度以及合并糖尿病、高血压、高脂血症、冠心病、饮酒史、吸烟史、缺血性卒中史等比较,差异无统计学意义(P均>0.05);经多因素Logistic回归分析显示,女性存在动脉瘤更多见[r=5.111,95%C1(1.340~19.492),P=0.017]。结论:颈内动脉狭窄伴未破裂颅内动脉瘤多为单一动脉瘤、动脉瘤直径多<5 mm、多位于颈内动脉系统且动脉瘤与狭窄位于同一血管者较多见;女性存在动脉瘤更多见,临床应加以重视。 展开更多
关键词 颈内动脉狭窄 未破裂颅内动脉瘤 动脉瘤特点 危险因素
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