目的 报告1例使用覆膜支架治愈颈内动脉假性动脉瘤合并颈内动脉海绵窦瘘(CCF).方法 患者因外伤后右侧上睑下垂、眼肌麻痹、眼球突出、结膜水肿2周来院,血管造影显示:右侧颈内动脉海绵窦假性动脉瘤合并CCF,患者接受覆膜支架介入治疗.结果 Jostent球囊扩张支架置于动脉瘤颈部,经反复扩张后动脉瘤和CCF均不显影.术后患者恢复良好.结论 尽管Jostent覆膜支架用于颅内血管病的治疗仍然存在一些问题,但为颈内动脉海绵窦动脉瘤和CCF的介入治疗提供了一种有效的方法 .%Objective We present one case of cavernous carotid artery aneurysm associated with a CCF which was successfully treated with covered stent Method A 18 - year - old man presented with a 2 weeks of progressive right - sided ptosis, ophthalmoplegia and proptosis, chetnosis after severe head trauma. A cerebral angiogram demonstrated a right ruptured cavernous carotid artery aneurysm associated CCF. The patient was treated with covered stent. Results A balloon expanded Jostent stent graft was placed across the aneurismal neck and expanded. Immediate angiogram demonstrated an endoleak around the stent. After repositioned the balloon and re - expended, the complete obliteration of aneurysm and shunt was achieved. The postoperative course was uneventful. Conclusions Although the current - generation Jostent stent graft remained some problems in the treatment of cerebral vascular diseases, covered stent provided a valuable approach for the treatment of cavernous carotid artery aneurysm and CCF.
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