覆膜支架腔内修复治疗颈动脉假性动脉瘤破裂出血

发布时间：2019-05-22 19:05

【摘要】：目的探讨覆膜支架腔内修复术治疗颈动脉假性动脉瘤破裂出血的效果及安全性。方法回顾性分析2009年7月至2015年7月中山大学孙逸仙纪念医院采用血管内覆膜支架植入术急诊救治的15例颈动脉假性动脉瘤破裂出血患者。其中直接外伤致颈总动脉假性动脉瘤1例,颈部手术致颈总动脉假性动脉瘤破裂1例,致颈内动脉假性动脉瘤破裂3例,鼻咽癌放疗后颈内动脉假性动脉瘤破裂10例。结果 15例患者均经覆膜支架腔内修复术得到成功救治,无即刻手术相关并发症及死亡发生。术后平均随访时间11个月,15例患者均无再次出血,临床随访期间无脑缺血并发症。结论覆膜支架腔内修复术治疗颈动脉假性动脉瘤破裂出血创伤小、安全有效,可在封堵颈动脉破口的同时恢复头颈部正常血供,并发症少。但仍需更大样本量临床研究证实,进一步观察远期疗效。
[Abstract]:Objective to investigate the effect and safety of endovascular repair of covered stent in the treatment of ruptured carotid pseudoaneurysm. Methods from July 2009 to July 2015, 15 patients with ruptured carotid pseudoaneurysm were treated with endovascular stent implantation in Sun Yat-sen Memorial Hospital of Sun Yat-sen University. There were 1 case of common carotid artery pseudoaneurysm caused by direct trauma, 1 case of common carotid artery pseudoaneurysm rupture caused by cervical surgery, 3 cases of internal carotid artery pseudoaneurysm rupture, and 10 cases of internal carotid artery pseudoaneurysm rupture after radiotherapy for nasopharyngeal carcinoma. Results all the 15 patients were successfully treated by endovascular repair with covered stent. No immediate complications and death occurred. The average follow-up time was 11 months. No rebleeding was found in all the 15 patients, and no complications of cerebral ischemia were found during the clinical follow-up. Conclusion endovascular repair of covered stent is less traumatic, safe and effective in the treatment of ruptured carotid artery pseudoaneurysm. It can restore the normal blood supply of head and neck while blocking the rupture of carotid artery, with fewer complications. However, a larger sample size of clinical research is still needed to confirm and further observe the long-term efficacy.
【作者单位】：中山大学孙逸仙纪念医院介入放射科;
【分类号】：R543.4

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