患者中年男性，因TIA于当地医院行CTA检查，发现左侧大脑中动脉瘤合并近端M1段血管狭窄，患者及家属要求介入手术治疗。
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外院CTA显示左侧大脑中动脉分叉处动脉瘤合并M1段血管狭窄
术前3D旋转动脉瘤显影不良
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手术体位造影显示动脉瘤及血管狭窄
拟先行动脉瘤栓塞
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填充成篮圈后造影发现狭窄血管远端不显影，遂回收弹簧圈，拟先行球扩狭窄血管
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微导管手推造影证实位于真腔
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球囊扩张
填充成篮圈
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近段狭窄处释放支架
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大脑中动脉瘤合并近段血管狭窄栓塞一例
李起超
秦皇岛市第一医院
脑医汇 App
