Geisler Benjamin S, Röther Joachim, Kucinski Thomas, Zeumer Hermann, Eckert Bernd
Department of Neuroradiology, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
AJNR Am J Neuroradiol. 2005 Mar;26(3):549-52.
MR imaging in a 73-year-old man presenting with hemispheric stroke revealed a subcortical diffusion-weighted imaging lesion associated with a high-grade stenosis of the proximal internal carotid artery, which suggested hemodynamic infarction. Collateral supply was absent. After failure of conservative therapy, successful unprotected carotid artery stent placement (CAS) was performed followed by a complete neurologic recovery. Emergency CAS should be considered in acute stroke patients with severe hemodynamic impairment if conservative treatment options are not successful.
一名73岁出现半球性卒中的男性患者的磁共振成像显示，皮质下扩散加权成像病变与颈内动脉近端高度狭窄相关，提示为血流动力学梗死。无侧支供血。保守治疗失败后，成功进行了非保护性颈动脉支架置入术（CAS），随后患者神经功能完全恢复。如果保守治疗方案不成功，对于有严重血流动力学损害的急性卒中患者应考虑急诊CAS。
