Song Joon K, Cacayorin Edwin D, Campbell Morgan S, Fisher Stanley, Malkoff Marc D, Alexandrov Andrei V, Grotta James C
Division of Interventional Neuroradiology, University of Texas Medical School, Houston 77030, USA.
AJNR Am J Neuroradiol. 2002 Sep;23(8):1308-12.
Acute embolic occlusion of the intracranial internal carotid bifurcation is associated with a poor prognosis. Recanalization rates of this lesion with intravenous or intraarterial thrombolysis are exceedingly low. We describe the use of balloon angioplasty after failed thrombolysis to achieve immediate recanalization of acute carotid T occlusions in two patients. At 1-month follow-up, both patients were alive with neurologic deficits. For acute carotid T occlusion, balloon angioplasty should be considered a first-line endovascular therapy.
颅内颈内动脉分叉处急性栓塞性闭塞与预后不良相关。经静脉或动脉内溶栓治疗该病变的再通率极低。我们描述了在溶栓失败后使用球囊血管成形术使两名患者的急性颈动脉T闭塞立即再通的情况。在1个月的随访中，两名患者均存活但有神经功能缺损。对于急性颈动脉T闭塞，球囊血管成形术应被视为一线血管内治疗方法。
