Hao Zhu, Yang Wang, Yunpei Liu, Yingang Wu, Ge Gao
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引用次数: 0
摘要
背景:累及双侧大脑前动脉的复杂前交通动脉(ACoA)动脉瘤是支架辅助卷绕(SAC)的重大挑战。分流(FD)装置为处理这种解剖复杂的病变提供了可行的选择。观察:一名成年患者患有复杂的11.21 × 14.28 mm ACoA动脉瘤,累及双侧A1-A2段,使用两个Pipeline Flex栓塞装置在x位部署进行FD。由于解剖复杂性,传统的夹持或SAC被认为是不合适的。术后影像显示最佳装置定位,对比剂保留在动脉瘤囊内。经验:间隔3个月和18个月的随访证实了完全闭塞,血管重构良好,无并发症,证明了该策略对解剖挑战性动脉瘤的安全性和有效性。https://thejns.org/doi/10.3171/CASE25415。
Background: Complex anterior communicating artery (ACoA) aneurysms involving bilateral anterior cerebral arteries present significant challenges for stent-assisted coiling (SAC). Flow diversion (FD) devices offer a viable alternative for managing such anatomically complex lesions.
Observations: An adult patient with a complex 11.21 × 14.28-mm ACoA aneurysm involving bilateral A1-A2 segments underwent FD using two Pipeline Flex embolization devices) deployed in an X-configuration. Conventional clipping or SAC was deemed unsuitable due to anatomical complexity. Postprocedural imaging demonstrated optimal device positioning with contrast retention within the aneurysm sac.
Lessons: Follow-up at 3-month and 18-month intervals confirmed complete occlusion with favorable vascular remodeling and without complications, demonstrating the safety and efficacy of this strategy for anatomically challenging aneurysms. https://thejns.org/doi/10.3171/CASE25415.