Treatment of an extracranial internal carotid artery aneurysm with a flow-diverting stent

Sybren M.M. Robijn , Jantien C. Welleweerd MD , Rob T.H. Lo MD , Frans L. Moll MD, PhD , Gert J. de Borst MD, PhD
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引用次数: 10

Abstract

No evidenced-based guidelines exist for the treatment of extracranial carotid artery aneurysms (ECAAs). The “gold standard” for symptomatic ECAAs is surgical intervention. In distally located ECAAs just below the base of the skull, endovascular monotherapy may be beneficial. We present the case of a 21-year-old man with a symptomatic saccular aneurysm in the distal internal carotid artery receiving a flow-diverting stent. The stent was successfully positioned without adverse procedural events. At 6 months, computed tomography angiography revealed secondary occlusion of the aneurysm without further complications. The flow-diverting stent may serve as an additional treatment option for the endovascular specialist considering invasive treatment in patients with an ECAA.

血流分流支架治疗颅内外颈内动脉瘤
颅外颈动脉动脉瘤(ECAAs)的治疗尚无循证指南。有症状的ECAAs的“金标准”是手术干预。对于位于颅底以下的远端ECAAs,血管内单一治疗可能是有益的。我们提出的情况下,21岁的男子有症状囊性动脉瘤在远段颈内动脉接受血流转移支架。支架置入成功,无不良手术事件。6个月时,计算机断层血管造影显示继发性动脉瘤闭塞,无进一步并发症。对于考虑对ECAA患者进行侵入性治疗的血管内专家来说,分流支架可以作为一种额外的治疗选择。
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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