关键词: Endovascular procedures Epistaxis Flow diversion Iatrogenic disease Internal carotid artery Internal carotid artery dissection

来  源:   DOI:10.7461/jcen.2024.E2023.11.007

Abstract:
A 50-year-old male patient with a history of transcranial surgery and subsequent radiotherapy for a pituitary adenoma presented with repetitive pulsatile nasal bleeding. A right cavernous segment pseudoaneurysm was discovered on the angiogram, and the patient failed the balloon occlusion test. A Papyrus (Biotronik, Berlin, Germany) stent graft, which is approved for coronary interventions, was successfully deployed over a coaxial guiding system during the emergent treatment of the false aneurysm. The patient tolerated the procedure well and nasal bleeding did not recur after the procedure. At one-year angiographic follow-up, the stent graft was patent and there was no evidence of recanalization of the false aneurysm.
摘要:
一名50岁的男性患者,有经颅手术和随后的垂体腺瘤放疗史,表现为重复性搏动性鼻出血。在血管造影上发现了右侧海绵状段假性动脉瘤,患者球囊闭塞试验失败。纸莎草纸(Biotronik,柏林,德国)支架移植物,被批准用于冠状动脉介入治疗,在假性动脉瘤的紧急治疗期间,已成功部署在同轴引导系统上。患者对手术耐受良好,手术后鼻出血未复发。在一年的血管造影随访中,支架移植物通畅,没有证据表明假性动脉瘤再通.
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