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Surgical management of giant intrapetrous internal carotid aneurysm presenting with coil exposure after endovascular treatment

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机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [2]China National Clinical Research Center for Neurological Diseases (NCRC-ND), Beijing 100050, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China [5]Center for Neuroscience Discovery, Institute for Healthy Aging, University of North Texas Health Science Center, Fort Worth, TX 76107, USA
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关键词: Intrapetrous internal carotid aneurysm Coil escaping Bypass surgery Endovascular coiling

摘要:
Giant intrapetrous internal carotid aneurysms (petrous ICA aneurysm) are rare. A giant petrous ICA aneurysm presenting with otorrhagia and coil exposure to the external auditory meatus (EAM) after endovascular treatment has never been documented before. The authors report here a case of successful surgical trapping with bypass intervention of a giant petrous ICA aneurysm presenting with coil exposure after endovascular treatment. A 58-year-old man presented with persistent otorrhagia having been admitted to our hospital because of the recurrence of a giant petrous ICA aneurysm after repeated embolization treatments with coils. An electronic otoscope examination demonstrated that a piece of coil escaped into his right EAM. After multidisciplinary consultation, an extracranial-intracranial (EC-IC) bypass with ICA occlusion and coil removal with a closed EAM filling were performed in stages. The patient recovered quickly without any neurological deficits. A digital subtraction angiography confirmed the absence of the aneurysm and patency of the bypass graft.

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出版当年[2017]版
大类 | 4 区 医学
小类 | 3 区 外科 4 区 临床神经病学
最新[2023]版:
大类 | 3 区 医学
小类 | 3 区 临床神经病学 3 区 外科
JCR分区:
出版当年[2016]版:
Q2 SURGERY Q3 CLINICAL NEUROLOGY
最新[2023]版:
Q1 SURGERY Q2 CLINICAL NEUROLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2016版] 出版当年五年平均 出版前一年[2015版] 出版后一年[2017版]

第一作者:
第一作者机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [2]China National Clinical Research Center for Neurological Diseases (NCRC-ND), Beijing 100050, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China
通讯作者:
通讯机构: [1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China [2]China National Clinical Research Center for Neurological Diseases (NCRC-ND), Beijing 100050, China [3]Center of Stroke, Beijing Institute for Brain Disorders, Beijing 100050, China [4]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing 100050, China
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