在基底性中风中通过持久的三角动脉进行血栓切除术,其次是内动脉封闭
Julia Castanos-Cortina1, Jose Carlos Mendez2, Sebastian García Madrona3
1Radiology, Hospital Universitario Fundación Alcorcón, Alcorcón, Spain julia.castanos@salud.madrid.org.
BMJ case reports
|October 29, 2025
概括
内动脉封闭很少会导致后部循环中风,特别是持续的三角动脉 (PTA). 成功的PTA血栓切除术恢复了血液流动,改善了患者的治疗结果.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经干预是一种神经干预.
背景情况:
- 内动脉 (ICA) 堵塞通常会影响前部循环.
- 很少情况下,ICA阻塞可以表现为后部循环缺血症,通常是由于解剖学变异,如持续的三角动脉 (PTA).
研究的目的:
- 报告一个罕见的后部循环中风病例,由ICA和PTA封闭引起.
- 描述这种复杂的脑血管疾病的成功内血管治疗方法.
主要方法:
- 一个患有ICA和PTA闭塞,出现后部循环中风的病人的病例报告.
- 用于诊断的CT血管造影.
- 合并吸血和支架取回器血栓切除术用于PTA和基底动脉的再通道.
主要成果:
- 成功地实现了持续的三动脉和后部循环的重新道化.
- 在干预后报告了有利的临床结果.
- 最初的NIH中风量表得分为20表示严重的中风.
结论:
- 持久的三动脉 (PTA) 可能是ICA阻塞的关键因素,导致后部循环中风.
- 结合性血栓切除术技术对于治疗复杂的PTA闭塞是有效的.
- 血管内治疗可以在罕见的中风病例中带来有利的结果.
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