Stent Graft Intervention in a Lumbar Artery Pseudoaneurysm Improved Cauda Equina Syndrome: A Case Report of Combined Embolization Strategy.

Yuta Murai, Kouki Nakashima, Yukio Tamura, Kagami Miyaji
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Abstract

A lumbar artery pseudoaneurysm following a lumbar vertebral compression fraction is rare. Cauda equina syndrome due to spinal canal compression is a rarer complication of this pseudoaneurysm. Endovascular treatment, which involves embolization of the inflow and outflow vessels, is the first-line treatment for lumbar artery pseudoaneurysms. We report a case of a lumbar artery pseudoaneurysm with spinal canal compression that was treated with coil embolization of the outflow vessel and stent graft placement to occlude the inflow vessel. After treatment, the symptoms of cauda equina syndrome improved. Using a stent graft is particularly effective when the inflow vessel to be occluded is short and, combined with other endovascular therapies such as coil embolization, increases the potential for complete exclusion of a lumbar artery pseudoaneurysm.

支架介入治疗腰动脉假性动脉瘤改善马尾综合征:联合栓塞策略1例报告。
腰动脉假性动脉瘤后腰椎压缩部分是罕见的。由于椎管压迫引起的马尾综合征是这种假性动脉瘤的罕见并发症。血管内治疗是腰动脉假性动脉瘤的一线治疗方法,其中包括对流入和流出血管进行栓塞。我们报告一个腰椎动脉假性动脉瘤合并椎管压迫的病例,采用线圈栓塞流出血管和支架植入来阻塞流入血管。治疗后,马尾综合征症状明显改善。当要阻塞的流入血管较短时,使用支架尤其有效,并且与其他血管内治疗(如线圈栓塞)相结合,增加了完全排除腰动脉假性动脉瘤的可能性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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