使用血管支架以治療顱外之內頸動脈假性動脈瘤：一病例報告

Teatment of Extracranial Internal Carotid Artery Pseudoaneurysm with Stenting: A Case Report

鄧木火(Michael Mu Huo Teng) ； 羅兆寶(Chao-Bao Luo) ； 凌憬峰(Jiing-Feng Lirng) ； 黃俊一(Chun-I Huang) ； 張政彥(Cheng-Yen Chang) ； 陳昌明(Chang-Ming Chern) ； 翁文章(Wen-Jang Wong) ； 胡漢華(Han-Hwa Hu)

《中華放射線醫學雜誌》 23卷3期 (1998/06) Pp. 117-120

摘要

報告一35歲女性患者，因有顱外的內頸動脈動脈瘤而轉來本院治療。動脈瘤位於內頸動脈開口2.5公分上方，動脈瘤頸部大約1公分。動脈瘤上下延伸大約2.8公分，左右橫徑最大為2公分。經家屬及患者同意後使用血管支架置入治療。治療後三個月之血管攝影顯示內頸動脈暢通，動脈瘤只剩下原有大小之五分之一。在八個月後的血管攝影可見動脈瘤已完全消失而內頸動脈也保持暢通。使用血管支架是此病的理想治療方式。

關鍵字

動脈瘤，頸動脈 ； 頸動脈，介入性治療 ； 支架及彌補物

並列摘要

We report our experience in treating a cervical internal carotid artery pseudoaneurysm with stenting. Patient was a 35-year-old female, who had a left upper neck mass for more than 5 years. Left carotid angiogram showed a pseudoaneurysm about 2.5 cm above the carotid bifurcation with an opening to the carotid artery of about 1 cm. It measures about 2.8 cm in craniocaudal dimension and about 2 cm in its greatest transverse diameter. In order to keep the internal carotid artery patent and obliterate the aneurysm, we selected to do stenting of the carotid artery. Wallstent was put in the internal carotid artery, covering the opening of the pseudoaneurysm. Follow up angiogram 3 months later showed obliteration of majority of the aneurysm lumen with patency of the internal carotid artery. Angiogram 8 months later showed complete obliteration of the aneurysm with patency of the internal carotid artery. Carotid stenting is the treatment of choice for extracranial cervical carotid artery aneurysm.

並列關鍵字

Aneurysm, carotid ； Carotid arteries, interventional procedure ； stents and prostheses