{"title":"管道弯曲栓塞装置（PED Flex）治疗创伤后大脑前动脉假性动脉瘤。","authors":"Jinlei Li, Minglei Li, Tingfu Zhang, Zengwu Wang","doi":"10.1097/SCS.0000000000011683","DOIUrl":null,"url":null,"abstract":"<p><p>Traumatic intracranial pseudoaneurysm (PSA) is a rare yet dangerous subtype of cerebral aneurysm. The pipeline flex embolization device (PED Flex) has recently been applied to treat intracranial PSA. Herein, the authors report a middle-aged patient with intracranial subarachnoid hemorrhage and intracerebral hematoma after blunt cephalic trauma. The trauma led to PSA in the A2 segment of the left anterior cerebral artery (ACA). The patient was treated with simple coil embolization to prevent rebleeding in the acute phase. After 20 days, angiography revealed recurrence of the aneurysm. Thus, PED Flex was implanted in the second phase. A 6-month postoperative follow-up revealed the complete disappearance of posttraumatic PSA, and the ACA remained unobstructed. This study shows good technical results in applying PED Flex in cases of posttraumatic ACA PSA with clinical improvement.</p>","PeriodicalId":15462,"journal":{"name":"Journal of Craniofacial Surgery","volume":" ","pages":"e814-e816"},"PeriodicalIF":1.0000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Pipeline Flex Embolization Device (PED Flex) for the Treatment of a Posttraumatic Anterior Cerebral Artery Pseudoaneurysm.\",\"authors\":\"Jinlei Li, Minglei Li, Tingfu Zhang, Zengwu Wang\",\"doi\":\"10.1097/SCS.0000000000011683\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Traumatic intracranial pseudoaneurysm (PSA) is a rare yet dangerous subtype of cerebral aneurysm. The pipeline flex embolization device (PED Flex) has recently been applied to treat intracranial PSA. Herein, the authors report a middle-aged patient with intracranial subarachnoid hemorrhage and intracerebral hematoma after blunt cephalic trauma. The trauma led to PSA in the A2 segment of the left anterior cerebral artery (ACA). The patient was treated with simple coil embolization to prevent rebleeding in the acute phase. After 20 days, angiography revealed recurrence of the aneurysm. Thus, PED Flex was implanted in the second phase. A 6-month postoperative follow-up revealed the complete disappearance of posttraumatic PSA, and the ACA remained unobstructed. This study shows good technical results in applying PED Flex in cases of posttraumatic ACA PSA with clinical improvement.</p>\",\"PeriodicalId\":15462,\"journal\":{\"name\":\"Journal of Craniofacial Surgery\",\"volume\":\" \",\"pages\":\"e814-e816\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Craniofacial Surgery\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1097/SCS.0000000000011683\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/7/21 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Craniofacial Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/SCS.0000000000011683","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/7/21 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
Pipeline Flex Embolization Device (PED Flex) for the Treatment of a Posttraumatic Anterior Cerebral Artery Pseudoaneurysm.
Traumatic intracranial pseudoaneurysm (PSA) is a rare yet dangerous subtype of cerebral aneurysm. The pipeline flex embolization device (PED Flex) has recently been applied to treat intracranial PSA. Herein, the authors report a middle-aged patient with intracranial subarachnoid hemorrhage and intracerebral hematoma after blunt cephalic trauma. The trauma led to PSA in the A2 segment of the left anterior cerebral artery (ACA). The patient was treated with simple coil embolization to prevent rebleeding in the acute phase. After 20 days, angiography revealed recurrence of the aneurysm. Thus, PED Flex was implanted in the second phase. A 6-month postoperative follow-up revealed the complete disappearance of posttraumatic PSA, and the ACA remained unobstructed. This study shows good technical results in applying PED Flex in cases of posttraumatic ACA PSA with clinical improvement.
期刊介绍：
The Journal of Craniofacial Surgery serves as a forum of communication for all those involved in craniofacial surgery, maxillofacial surgery and pediatric plastic surgery. Coverage ranges from practical aspects of craniofacial surgery to the basic science that underlies surgical practice. The journal publishes original articles, scientific reviews, editorials and invited commentary, abstracts and selected articles from international journals, and occasional international bibliographies in craniofacial surgery.
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