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中华脑血管病杂志(电子版) ›› 2023, Vol. 17 ›› Issue (04) : 417 -421. doi: 10.11817/j.issn.1673-9248.2023.04.019

病例报告

Pipeline Flex栓塞装置治疗伴有海绵窦综合征的巨大动脉瘤二例
刘涛, 那世杰(), 张庆荣, 凌海平, 庄宗, 张玉华   
  1. 210008 南京大学医学院附属鼓楼医院神经外科
  • 收稿日期:2022-12-08 出版日期:2023-08-01
  • 通信作者: 那世杰
  • 基金资助:
    国家自然科学基金资助项目(81971127); 南京市卫生科技发展专项资金医学重点科技发展项目(ZKX20013)

Giant aneurysms with cavenous sinus syndrome treated with Pipeline embolization device: two case reports

Tao Liu, Shijie Na(), Qingrong Zhang   

  • Received:2022-12-08 Published:2023-08-01
  • Corresponding author: Shijie Na
引用本文:

刘涛, 那世杰, 张庆荣, 凌海平, 庄宗, 张玉华. Pipeline Flex栓塞装置治疗伴有海绵窦综合征的巨大动脉瘤二例[J]. 中华脑血管病杂志(电子版), 2023, 17(04): 417-421.

Tao Liu, Shijie Na, Qingrong Zhang. Giant aneurysms with cavenous sinus syndrome treated with Pipeline embolization device: two case reports[J]. Chinese Journal of Cerebrovascular Diseases(Electronic Edition), 2023, 17(04): 417-421.

图2 病例1第1次手术前测量瘤体(图a)和载瘤动脉(图b),瘤体约38 mm×25 mm×10 mm
图4 病例1患者第2次入院造影图像(侧位)示动脉瘤大部分愈合
图6 病例1患者10个月后复查仍未完全愈合,但海绵窦综合征消失。患者双侧瞳孔等大、正圆,双侧直接及间接对光反射灵敏,双眼视力无减腿,双眼球活动自如,无上睑下垂,双侧面部感觉无异常
图7 病例2影像学检查资料。图a、b:手术前测量载瘤动脉和载瘤体;图c、d为术前造影图像;图e示球囊扩张促进支架贴壁;图f示第1次手术后造影剂滞留;图g示第1次术后支架重建;图h示第2次手术前造影射流征;图i为第2次手术前造影射流征侧位;图j示第2次头部CT占位效应未解除;图k示第2次手术再次置入2枚LVIS支架;图l示第2次手术后18个月复查仍未完全愈合
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