DSA提示：1、右侧颈内动脉岩骨段局限性膨大影；2、右侧椎动脉造影见椎

DSA prompts: 1. Localized enlargement of the petrous segment of the right internal carotid artery; 2. Irregular enlargement of the long segment of the distal vertebral artery seen on the right vertebral artery angiography; preoperative diagnosis: 1. The right internal carotid artery <br><br>Treatment of dissecting aneurysm of bone segment and right vertebral artery aneurysm : oral aspirin 100mg and clopidogrel 75mg 3 days before surgery. <br>After general anesthesia, a 6F sheath is placed, a guiding catheter is placed at the proximal end of the right internal carotid artery, guided by a micro-guide wire, a stent catheter is placed in the aneurysm-carrying artery, guided by a posterior micro-guide wire, and the micro catheter is placed in the aneurysm cavity. A stent was released to cover the neck of the aneurysm, and multiple coils were assisted by the stent to embolize the dissecting aneurysm. The angiography showed satisfactory embolization, and the distal end of the internal carotid artery was well developed. <br>All 8 patients received treatment successfully. <br>One of the patients had symptoms of contralateral internal carotid artery stenosis and was treated with internal carotid artery stenting. <br>After surgery, low-molecular-weight heparin was injected subcutaneously for 3 days, and routine oral aspirin for 6 months and clopidogrel for 3 months. One patient with multiple high-risk factors for cardiovascular and cerebrovascular diseases was recommended to take aspirin for life; 7 patients had immediate imaging The aneurysm cavity was not visualized. In one case, the internal carotid artery was well visualized, and there was no intraoperative rupture, bleeding, thrombosis, and other complications. <br>Statistics of basic patient treatment status <br>patient number <br>patient gender <br>patient age <br>tumor neck diameter proximal internal carotid artery diameter <br>tumor neck internal carotid artery distal diameter <br>tumor neck width <br>treatment method <br>stent brand <br>stent type <br>complications <br>follow-up time <br>follow-up results Rank classification <br>simple stent placement <br>Abbott <br>Acculink stent <br>6mm * 8mm * 40mm cone stand <br>good, 5 <br>female <br>Bard<br>FVL06040 stent <br>placement + spring coil embolization <br>Protege carotid stent, Solitaire AB <br>1) SEPX-8-6-40-135; proximal 8mm, distal 6mm, length 40mm; 2) 6mm*30mm <br>Solitare AB stent <br>Protege carotid Stent <br>1) Solitaire AB stent; 2) <br>Typical legend of LEO stent : aneurysm of the extracranial segment of the left internal carotid artery. <br>Preoperative CTA image:

DSA Tips: 1, right cervical artery bone section limitation puffing shadow; 2, right vertebral artery contrast see the far segment of the vertebral artery long section irregular expansion change; preoperative diagnosis: 1. right cervical artery rock bone section mezzanine aneurysm, right right right vertebral mezzanine pulsating aneurysm.<br><br>Treatment: Oral aspirin 100mg 3 days before surgery, 75mg of clopidogrel.<br>Full hemp rear 6F crucible, placed guide catheter in the right neck artery near end, micro-guide guide, stent catheter placed in the carrier tumor artery, after micro-guide guide, micro-catheter placed in the aneurysm cavity, released a stent covering the aneurysm neck, stent assisted by several spring ring embolis mezzanine aneurystic, anime showed that the embolism is satisfactory, cervical artery far end rendering is good.<br>All 8 patients were successfully treated.<br>One of the patients combined had a stenosis on the side neck artery stenosis, while the intra-neck artery stent was given an instentual disposition.<br>Postoperative hypomolecular heparin subcutaneous injection 3 days, conventional oral aspirin June and chlorbi-gray 3, 1 patient combined with multiple cardiovascular disease risk factors and recommended lifetime use of aspirin; 7 patients immediately angiography aneurystic aneurysm cavity does not develop, 1 spring ring assisted embolism aneurysm cavity a small amount of imaging, cervical artery are positive, no intraoperative rupture bleeding, thrombosis and other complications.<br>A statistical table of the basic conditions of patient treatment.<br>Patient number.<br>The patient's gender.<br>Age of the patient.<br>The near end diameter of the artery in the neck.<br>The diameter of the far end of the artery in the neck.<br>The width of the cancer neck.<br>Treatment.<br>Bracket brand.<br>Bracket type.<br>Complications.<br>Follow-up time.<br>Follow-up results Rank rated ranked.<br>Simple bracket placement.<br>Abbott.<br>Acculink stand.<br>6mm x 8mm x 40mm conical stand.<br>Good, 5.<br>Woman.<br>Bud.<br>FVL06040 bracket.<br>Bracket s/spring-ring embolism.<br>Protege cervical artery stent, Solitaire AB.<br>1) SEPX-8-6-40-135; near end 8mm, far end 6mm, long 40mm; 2) 6mm x 30mm.<br>Solitare AB bracket.<br>Protege cervical artery stent.<br>1) Solitaire AB bracket; 2) LEO bracket.<br>Typical example: an aneurysm in the outer cranial section of the left cervical artery.<br>Preoperative CTA image:

DSA showed: 1. Localized enlargement of the petrous bone segment of the right internal carotid artery; 2. Irregular enlargement of the distal segment of the vertebral artery in the right vertebral artery angiography; preoperative diagnosis: 1. Dissecting aneurysm of the petrous bone segment of the right internal carotid artery and dissecting vein aneurysm of the right vertebral artery<br>Treatment: aspirin 100mg and clopidogrel 75mg were given orally 3 days before operation.<br>After general anesthesia, a 6F sheath was placed in the proximal end of the right internal carotid artery, guided by the micro guide wire, the stent was placed in the parent artery, guided by the posterior micro guide wire, the microcatheter was placed into the aneurysm cavity, a stent was released to cover the aneurysmal neck, and multiple coils were used to embolize the dissecting aneurysm under the assistance of stent. Angiography showed that the embolization was satisfactory and the distal end of internal carotid artery was well developed.<br>All 8 patients were treated successfully.<br>One patient with contralateral internal carotid artery stenosis was treated with internal carotid artery stent implantation.<br>Three days after operation, low molecular weight heparin was injected subcutaneously, aspirin was taken for 6 months and clopidogrel was taken for 3 months. One patient with multiple risk factors of cardiovascular and cerebrovascular diseases was recommended to take aspirin all his life. Seven patients had no angiography immediately, and one case had a small amount of angiography assisted by coil embolization Complications occurred.<br>Statistical table of basic treatment information of patients<br>Patient number<br>Patient gender<br>Patient's age<br>Diameter of proximal internal carotid artery at tumor neck<br>Diameter of distal internal carotid artery at tumor neck<br>Width of tumor neck<br>Treatment<br>Bracket brand<br>Bracket type<br>complication<br>Follow up time<br>Rank classification of follow-up results<br>Stenting alone<br>Abbott<br>Acculink bracket<br>6mm * 8mm * 40MM conical support<br>Good, 5<br>female<br>Bard<br>Fvl06040 bracket<br>Stent placement and coil embolization<br>Protege carotid stent, solitaire ab<br>1) Sepx-8-6-40-135; proximal 8mm, distal 6mm, length 40mm; 2) 6mm * 30MM<br>Solid AB bracket<br>Protege carotid stent<br>1) Single AB bracket; 2) Leo bracket<br>Typical legend: extracranial aneurysm of left internal carotid artery.<br>Preoperative CTA images were as follows