在48小时内在急性缺血性中风中进行两次机械血栓切除术:关于心房的患者的病例报告
Hui Wu1, Xianhong Wu1, Shiqin Chen1
1Department of Neurology, The Second People's Hospital of Yuhuan, No. 77 Huanbaozhong Road, Chumen Town, Yuhuan, Zhejiang, 317605, China.
Radiology case reports
|July 13, 2023
概括
重复的机械血栓切除术在患有心房动的患者中成功治疗了急性缺血性中风再封闭. 这一案例凸显了重复干预大血管闭塞中风复发的潜力.
科学领域:
- 神经学 神经学
- 干预神经病学 干预神经病学
背景情况:
- 机械血栓切除术是急性缺血性中风与大血管封闭的标准治疗方法.
- 有限的数据存在于重复的机械血栓切除术的有效性和安全性,用于重复性大血管闭塞中风.
研究的目的:
- 报告一个成功的重复机械血栓切除术的病例,该病例发生在患有重复性大血管封闭性中风的患者身上.
- 强调在精选的中风复发病例中,重新干预的潜在好处.
主要方法:
- 一名68岁的男性患有心房动,由于右侧内动脉封闭而出现急性缺血性中风.
- 最初的机械血栓切除术使神经系统完全恢复.
- 手术后30小时出现复发症状,导致在确认重新封闭和计算机断层扫描输液评估后重复机械血栓切除术.
主要成果:
- 患者在第一次机械血栓切除术后实现了完全的神经恢复.
- 在重新封闭后,第二次机械血栓切除术导致了良好的神经结果.
- 心血管栓塞被确定为病因,并开始抗凝治疗.
结论:
- 重复的机械血栓切除术可能是一个可行的选择,对于患有重复性大血管闭塞中风的患者.
- 及时诊断和干预对于中风复发的良好结果至关重要.
- 识别栓塞源,如心血管栓塞,对于指导长期管理至关重要.
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