Okazaki Toshiyuki, Satomi Junichiro, Satoh Koichi, Hirasawa Motohiro, Nagahiro Shinji
Department of Neurosurgery, School of Medicine, The University of Tokushima, Japan.
Neurol Med Chir (Tokyo). 2005 May;45(5):253-8. doi: 10.2176/nmc.45.253.
A 45-year-old woman presented with progressive stroke due to occlusion of the left internal carotid artery at the level of the cavernous portion (C3/C4). Revascularization was achieved by stent deployment following percutaneous transluminal angioplasty. Stent thrombosis occurred 7 days after primary stenting; it was successfully treated with the stent-in-stent technique. The patient was able to return to her independent life with no sequelae except for slight hemiparesis. In combination with appropriate antiplatelet treatment, the stent-in-stent technique should be considered as a rescue option in patients with re-occlusion of an intracranial stent.
一名45岁女性因海绵窦段（C3/C4）左侧颈内动脉闭塞出现进行性卒中。经皮腔内血管成形术后通过支架置入实现血运重建。初次支架置入7天后发生支架血栓形成；采用支架内再置入技术成功治疗。患者能够恢复独立生活，除轻微偏瘫外无后遗症。结合适当的抗血小板治疗，支架内再置入技术应被视为颅内支架再闭塞患者的一种挽救选择。
