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。
Objective To evaluate the efficacy and safety of endovascular repair with covered stent in treating ruptured carotid artery pseudoaneurysms. Methods The clinical data of 15 patients with ruptured carotid artery pseudoaneurysm, who were admitted to Sun Yat-Sen Memorial Hospital of Zhongshan University during the period from July 2009 to July 2015 to receive emergency rescue with endovascular covered stent implantation, were retrospectively analyzed. Of the 15 patients, the rupture of common carotid artery pseudoaneurysm caused by direct trauma was seen in one and caused by cervical operation was observed in one, the rupture of internal carotid artery pseudoaneurysm caused by cervical operation was found in 3, and the rupture of internal carotid artery pseudoaneurysm due to radiotherapy for nasopharyngeal carcinoma was seen in 10. Results Successful rescue with endovascular repair using covered stent implantation was obtained in all 15 patients. No immediate procedure-related complications or death occurred. The mean follow-up time was 11 months. During the follow-up period, no re-bleeding or cerebral ischemic complications occurred. Conclusion For the treatment of ruptured carotid artery pseudoaneurysms, endovascular repair with covered stent is minimally invasive, safe and effective with less complications; and along with the occlusion of carotid artery rupture, the blood supply of the head and neck returns to normal. However, further clinical researches with larger samples are needed before its long-term efficacy can be completely clarified.
作者
王卫东
孙宏亮
骆江红
陈耀庭
倪嘉延
江雄鹰
陈栋
黄巧胜
许林锋
WANG Wei-dong SUN Hong-liang LUO Jiang-hong CHEN Yao-ting NI Jia-yan JIANG Xiong-ying CHEN Dong HUANG Qiao-sheng XU Lin-feng.(Department of Interventional Radiology, Sun Yat-Sen Memorial Hospital, Zhongshan University, Guangzhou, Guangdong Province 510288, China)
出处
《介入放射学杂志》
CSCD
北大核心
2017年第1期15-19,共5页
Journal of Interventional Radiology
关键词
颈动脉损伤
假性动脉瘤
覆膜支架
carotid artery injury
pseudoaneurysm
covered stent
