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目的:评价介入技术经血管内治疗颅外段颈动脉破裂的安全性和疗效。方法:对6例经数字减影血管造影(digital subtraction angiography,DSA)确诊的颅外段颈动脉破裂患者进行血管内治疗,其中采用覆膜支架封闭颈动脉破裂口4例,弹簧圈闭塞颈动脉2例。结果:血管造影显示颈总动脉(CCA)破裂出血5例,颅外段颈内动脉(ICA)动静脉瘘(AVF)1例,治疗均获成功,颈动脉保留通畅4例,全部病例临床症状消失。无并发症及死亡病例。术后随访1~16月,均无临床症状复发(其中1例在4月后死于肿瘤晚期)。结论:经导管栓塞-覆膜支架置入治疗颅外段颈动脉破裂损伤小、安全、有效。
OBJECTIVE: To evaluate the safety and efficacy of interventional techniques for the treatment of extracranial carotid artery rupture by endovascular treatment. Methods: Six patients with extracranial carotid artery rupture diagnosed by digital subtraction angiography (DSA) were treated with endovascular therapy. Four patients with carotid artery rupture were covered with covered stent and the carotid artery was closed with coil 2 cases. Results: Angiography showed 5 cases of CCA rupture and 1 case of extracranial internal carotid artery (ICA) arteriovenous fistula (AVF). All of them were successfully treated, 4 cases remained carotid artery patency, and all clinical symptoms disappear. No complications and deaths. All patients were followed up for 1 to 16 months. No clinical recurrence was found (one of them died of advanced tumor in April). Conclusion: The transcatheter embolization - stent graft treatment of extracranial carotid artery rupture injury is small, safe and effective.