关键词: Endovascular treatment Flow diverter Intracranial pseudoaneurysm TCCF

Mesh : Humans Carotid-Cavernous Sinus Fistula / complications diagnostic imaging surgery Aneurysm, False / complications diagnostic imaging Treatment Outcome Embolization, Therapeutic / methods China Endovascular Procedures

来  源:   DOI:10.1016/j.wneu.2023.02.095

Abstract:
Traumatic carotid cavernous fistulas (TCCFs) and traumatic intracranial pseudoaneurysms are uncommon vascular anomalies associated with head trauma.1,2 Detachable balloons, covered stents, or liquid embolic agents can be used to treat TCCFs in some conditions.3,4 TCCF concomitant with pseudoaneurysm is an extremely rare occurrence in the literature.5,6 In Video 1, we present a unique case of a TCCF concomitant with a giant pseudoaneurysm of the posterior communicating segment of the left internal carotid artery in a young patient. Both lesions were successfully managed with an endovascular treatment using a Tubridge flow diverter (MicroPort Medical Company, Shanghai, China), coils, and Onyx 18 (Medtronic, Bridgeton, Missouri, USA). No neurologic complications occurred due to the procedures. Six-month follow-up angiography illustrated complete resolution of fistula and pseudoaneurysm. This video shows a new treatment method for TCCF concomitant with a pseudoaneurysm. The patient consented to the procedure.
摘要:
外伤性颈动脉海绵窦瘘(TCCF)和外伤性颅内假性动脉瘤是与头部创伤相关的罕见血管异常。覆膜支架,在某些情况下,或液体栓塞剂可用于治疗TCCF。3,4TCCF合并假性动脉瘤在文献中极为罕见。5,6在视频1中,我们介绍了TCCF合并巨大假性动脉瘤的独特病例。年轻患者的左颈内动脉后交通段。使用Tubridge分流器(MicroPortMedicalCompany,上海,中国),线圈,和玛瑙18(美敦力,布里奇顿,密苏里州,美国)。由于该程序,没有发生神经系统并发症。六个月的随访血管造影显示瘘管和假性动脉瘤完全消退。该视频显示了TCCF伴随假性动脉瘤的新治疗方法。患者同意手术。
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