Ishihara H, Sakai N, Kuroiwa T, Sakaguchi M, Morizane A, Sakai C, Yano T, Kajikawa R, Yamagami H, Kobayashi J
Department of Neurosurgery and Neurology, Kobe City General Hospital 4-6, Minatojima-Nakamachi, Chuo-ku, Kobe, 650-0046, Japan -
Interv Neuroradiol. 2006 Sep 15;12(3):263-8. doi: 10.1177/159101990601200310. Epub 2006 Dec 13.
Chronic total occlusion of cerebrovascular lesions is regarded as a contraindication to revascularization. We describe a case of chronic total occlusion of intracranial internal carotid artery that iwass successfully recanalized by endovascular treatment. A 72-year-old man who presented with slight right hemiparesis was proved to have chronic total occlusion of the left intracranial internal carotid artery. Percutaneous transluminal angioplasty/stenting was achieved using reversal of flow with the Parodi Anti-Embolic System. The present case indicates that percutaneous transluminal angioplasty/stenting can be an effective therapeutic option in selected patients with chronic total occlusion of cerebrovascular lesions.
脑血管病变的慢性完全闭塞被视为血管重建的禁忌症。我们描述了一例颅内颈内动脉慢性完全闭塞病例，该病例通过血管内治疗成功再通。一名出现轻微右侧偏瘫的72岁男性被证实患有左侧颅内颈内动脉慢性完全闭塞。使用帕罗迪抗栓系统进行血流逆转，实现了经皮腔内血管成形术/支架置入术。本病例表明，经皮腔内血管成形术/支架置入术对于某些患有脑血管病变慢性完全闭塞的患者可能是一种有效的治疗选择。
