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机械血栓切除术用于与右侧大动脉关闭的中等血管:一个案例报告

Seigo Kimura¹, Ryokichi Yagi², Akiko Marutani¹

¹Department of Neurosurgery, Kouzenkai Yagi Neurosurgical Hospital, Osaka, Osaka, Japan.

Journal of neuroendovascular therapy

|February 26, 2025

概括

对中等血管封闭的神经内血管治疗在患有右侧大动脉门的患者中非常罕见. 这份病例报告详细介绍了一个84岁的患有这种罕见血管异常的妇女的机械血栓切除术的成功.

科学领域:

血管外科血管外科
神经学神经学
干预性放射学干预性放射学

背景情况:

右侧大动脉门是一种罕见的先天性血管异常.
这种异常患者的神经内血管干预存在独特的解剖学挑战.

研究的目的:

报告在患有右侧大动脉门的患者中成功进行的神经内血管干预.
要突出在这种异常存在时机械血栓切除术的技术考虑.

主要方法:

一个84岁的女性患有急性缺血性中风的病例介绍,原因是左中脑动脉封闭.
机械血栓切除术是使用 Solitaire X 支架检索器进行的.
使用磁共振血管学和计算机断层扫描评估了血管解剖学,揭示了右侧主动脉弧与异常的左下关节动脉.

主要成果:

成功地实现了被堵塞的左中脑动脉的重新道化.
该患者被转移到康复医院,其修改后的兰金尺度得分为1,表明了良好的功能结果.
该程序证明了神经内血管治疗的可行性,尽管大动脉解剖学复杂.

结论:

机械血栓切除术是急性缺血性中风的可行治疗选择,在患有右侧大动脉的患者中.
了解右侧大动脉的特定分支模式对于成功的神经内血管程序至关重要.
这一案例强调了手术前成像的重要性,以识别和导航罕见的大动脉异常.

关键词:

机械血栓切除术是一种机械血栓切除术.中等血管的封闭.右侧的大动脉门.

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