脑膜中动脉栓塞术治疗急性硬膜下血肿:通过颈动脉支架入路的病例系列。

Q3 Medicine
Korean Journal of Neurotrauma Pub Date : 2024-06-04 eCollection Date: 2024-06-01 DOI:10.13004/kjnt.2024.20.e16
Christopher S Medina, Sardion Jijelava, Elie Dancour, Paul Wright
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引用次数: 0

摘要

本病例系列的第一个目的是描述一名近期中风后出现严重症状的左侧颈内动脉狭窄患者的病例。经颈内动脉血运重建支架置入术后数天,患者出现左侧硬膜下血肿。尽管左侧脑膜中动脉(MMA)因颈内动脉支架而受阻,患者还是接受了左侧脑膜中动脉栓塞术。通过引导导管穿过支架壁进入颈外动脉。我们将这种方法称为 "穿墙入路"。这样就可以通过同轴系统将聚乙烯醇微粒输送到 MMA 进行栓塞。栓塞成功进行,支架的完整性和通过支架的血流未受影响。总之,我们展示了一种通过先前放置的颈内支架进入颈外动脉的新方法,即通过神经介入方法进入被支架栓塞的颈外动脉,通过 MMA 栓塞治疗急性硬膜下血肿。本病例系列的第二个目的是展示文献中首次在急性或急性亚急性环境下进行的 MMA 栓塞术,包括本病例和其他四个病例。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Middle Meningeal Artery Embolization in the Treatment of Acute Subdural Hematoma: A Case Series Featuring Access Through a Carotid Stent.

The first objective of this case series was to describe the case of a patient with severe symptomatic left internal carotid artery stenosis after a recent stroke. Several days after stent placement by transcarotid artery revascularization, the patient developed a left-sided subdural hematoma. The patient then underwent embolization of the left middle meningeal artery (MMA) despite blocked access to the left MMA because of an internal carotid stent. The external carotid artery was accessed by passing a guiding catheter through the stent wall. We describe this method as "intrawall access." This allowed a coaxial system to deliver polyvinyl alcohol particles to the MMA for embolization. Embolization was successfully performed, with the stent integrity and blood flow through it remaining uncompromised. Overall, we demonstrated a new method of access through a previously placed internal carotid stent to gain neurointerventional access to the external carotid artery, which was jailed by a stent, for treating an acute subdural hematoma via MMA embolization. The second objective of this case series was to demonstrate the first MMA embolization in literature carried out in the acute or acute-on-subacute setting, in this case, and in four others.

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CiteScore
1.10
自引率
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发文量
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