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颈内动脉血泡样动脉瘤的诊治进展 被引量：2

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摘要 颈内动脉血泡样动脉瘤(blood blister-like aneurysm,BBA)是指位于床突以上颈内动脉非分叉部位的小的宽基底动脉瘤,其瘤壁菲薄、较脆,无明确瘤颈[1].BBA占颅内破裂动脉瘤的0.4％ ～2.7％及破裂颈内动脉动脉瘤的0.9％～9.4％[1-5].虽然其是引起蛛网膜下腔出血的较罕见原因,但是由于其破裂后并发症发生率较高、普通血管造影很难发现以及病变处理有较大挑战性,因此仍引起临床广泛关注,现将其特点及诊治进展综述如下. 一、病因及病理学特点 1986年Nakagawa等[6]首先报道了该类位于颈内动脉床突以上非分叉部位并从颈内动脉侧壁凸出的动脉瘤.与常见的发生于动脉分叉部位的囊性动脉瘤不同,BBA位于颈内动脉的弯曲部,据Ogawa等[7]报道,其最常见于颈内动脉的前正中壁(11/13,85％),其次为侧壁(2/13,15％),因此其也被称为颈内动脉前壁动脉瘤、上壁动脉瘤、背侧动脉瘤、颈内动脉干动脉瘤等[5,7].
作者 段鸿洲 李良 莫大鹏
机构地区 北京大学第一医院神经外科
出处 《中华临床医师杂志（电子版）》 CAS 2012年第20期146-148,共3页 Chinese Journal of Clinicians(Electronic Edition)
基金 教育部高等学校博士点基金(20110001120050)
关键词 动脉瘤 BBA 血流动力 颈内动脉 颈动脉 大脑中动脉
分类号 R743.3 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献27

  • 1Doorenbosch X,Harding M. Primary treatment of a blood-blister-like aneurysm of the internal carotid artery with Guglielmi detachable coil embolisation[J].Journal of Clinical Neuroscience,2008.1276-1279. 被引量：1
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二级参考文献25

  • 1Ogawa A,Suzuki M,Ogasawara K.Aneurysms at no branching sites in the supraclinoid portion of the internal carotid artery:internal carotid artery trunk aneurysms[J].Neurosurgery,2000,47:578-586. 被引量：1
  • 2Gaughen JR Jr,Hasan D,Dumont AS,et al.The efficacy of endovascular stenting in the treatment of supraclinoid internal carotid artery blister aneurysms using a stent-in-stent technique[J].AJNR,2010,31:1132-1138. 被引量：1
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  • 8Yang MH,Weng ZC,Weng YG,et al.A Right-sided aortic arch with kommerell's diverticulum of the aberrant left subclavian artery presenting with syncope[J].J Chin Med Assoc,2009,72:275-277. 被引量：1
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共引文献30

同被引文献71

  • 1Abe M, Tabuchi K, Yokoyama H, et al. Blood blisterlike aneurysms of the internal carotid artery[ J]. J Neurosurg, 1998, 89(3): 419-424. 被引量：1
  • 2Ogawa A, Suzuki M, Ogasawara K. Aneurysms at nonbranching sites in the surpaclinoid portion of the internal carotid artery: internal carotid artery trunk aneurysms [ J ]. Neurosurgery, 2000, 47(3): 578-586. 被引量：1
  • 3Peschillo S, Cannizzaro D, Caporlingua A, et al. A systematic review and meta-analysis of treatment and outcome of blister-like aneurysms [J]. AJNR Am J Neuroradiol, 2016, 37(5): 856-861. 被引量：1
  • 4Rouchaud A, Brinjikji W, CloftHJ, et al. Endovascular treatment of ruptured blister-like aneurysms: a systematic review and meta- analysis with focus on deconstructive versus reconstructive and flow-diverter treatments[J]. AJNR Am J Neuroradiol, 2015, 36(12): 2331-2339. 被引量：1
  • 5Ishikawa T, Nakamura N, Houkin K, et al. Pathological consideration of a "blister-like" aneurysm at the superior wall of the internal carotid artery: case report[ J ]. Neurosurgery, 1997, 40(2): 403-406. 被引量：1
  • 6Szmuda T, Sloniewski P, Waszak PM, et al. Towards a new treatment paradigm for ruptured blood blister-like aneurysms of the internal carotid artery? A rapid systematic review[ J ]. J Neurohaterv Surg, 2016, 8(5): 488-494. 被引量：1
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  • 8McNeely PD, Clarke DB, Baxter B, et al. Endovascular treatment of a volister-like aneurysm of the internal carotid artery[ J]. Can J Neurol Sci, 2000, 27 (3): 247-250. 被引量：1
  • 9Yanaka K, Meguro K, Nose T. Repair of a tear at the base of a blister-like aneurysm wkh suturing and an encircling clip: technical note[ J]. Neurosurgery, 2002, 50(1 ): 218-221. 被引量：1
  • 10Tanoue S, Kiyosue H, Matsumoto S, et al. Ruptured "blisterlike" aneurysm with a pseudoaneurysm formation requiring delayed intervention with endo,)ascular coil embolization. Case report [J]. J Neurosurg, 2004, 101 (1): 159-162. 被引量：1

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二级引证文献8

中华临床医师杂志（电子版）
2012年 第20期

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