Hôpital Neurologique et Neurochirurgical P. Wertheimer, Lyon, France.
Eur Neurol. 2010;63(4):211-4. doi: 10.1159/000278248. Epub 2010 Mar 9.
Internal carotid artery (ICA) dissection with tandem internal carotid and middle cerebral artery occlusion may carry a poor prognosis even if intravenous recombinant-tissular plasminogen activator is administered. A better outcome may be expected with the combination of intravenous thrombolysis and endovascular methods (stenting and thromboaspiration). This procedure was performed in 3 patients who had concurrent ICA dissection and intracerebral occlusion. Endovascular treatment was feasible and safe. All our patients had a good clinical outcome. This potential effective approach may need further validation.
颈内动脉（ICA）夹层伴串联颈内和大脑中动脉闭塞，即使给予静脉重组组织型纤溶酶原激活剂，预后也可能较差。静脉溶栓联合血管内方法（支架置入和血栓抽吸）可能会有更好的结果。该方法在 3 例同时发生 ICA 夹层和颅内闭塞的患者中进行。血管内治疗是可行和安全的。我们所有的患者都有良好的临床结果。这种潜在的有效方法可能需要进一步验证。
