对右半球中风综合征进行内血管机械血栓切除术,原因是急性左A1-A2结节血栓栓塞
Tyler Scullen1,2, James Milburn3,4, Mansour Mathkour1,2
1Department of Neurological Surgery, Tulane University, New Orleans, LA.
Ochsner journal
|December 25, 2023
概括
内血管机械血栓切除术 (EVT) 成功治疗因远端大血管封闭引起的中风. 这个案例突出了EVT.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 血管医学 血管医学
背景情况:
- 大血管封闭 (LVOs) 显著影响急性缺血性中风管理.
- 内血管机械血栓切除术 (EVT) 是LVO的关键治疗方法.
- 对于EVT存在指导方针,但在某些特定情况下的扩展使用显示出有希望.
研究的目的:
- 在不典型的中风呈现中报告一个成功的EVT病例.
- 为了强调EVT在治疗远端小口径血管堵塞方面的有效性.
- 为了强调考虑EVT对于不寻常的中风症状的重要性.
主要方法:
- 一名71岁的男性患有轻度半衰竭,接受了诊断血管造影.
- 血管造影显示,A1-A2结处的大血管堵塞.
- 通过内血管机械血栓切除术成功实现了再通道化.
主要成果:
- 患者出现了模仿右半球中风的错误定位症状.
- 在EVT后的成像显示24小时内没有心脏病发作.
- 患者完全康复 (NIHSS得分为0),并在第7天出院.
结论:
- 对于表现为异常中风症状的远端LVO,进行了成功的EVT.
- 这一案例强调了非典型中风呈现的高怀疑指数的价值.
- 即使在治疗较小的远端脑血管时,EVT也有效.
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