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破裂性前交通动脉瘤GDC栓塞术后大脑中动脉血栓栓塞性闭塞的急诊颅外-颅内搭桥术

Emergency Extracranial-to-Intracranial Bypass after Thromboembolic Occlusion of the Middle Cerebral Artery Following GDC Embolization of a Ruptured ACoA Aneurysm.

作者信息

Standhardt H, Gruber A, Ferraz-Leite H, Bavinzski G

机构信息

Department of Neurosurgery Medical University of Vienna; Austria -

出版信息

Interv Neuroradiol. 2004 Sep 30;10(3):257-63. doi: 10.1177/159101990401000309. Epub 2005 Jan 5.

Abstract

We report a case of thromboembolic occlusion of the middle cerebral artery after endovascular treatment of a ruptured anterior communicating artery aneurysm. When fibrinolytic therapy failed to recanalize the occluded vessel, an emergency extracranial-to-intracranial bypass was performed. This intervention rescued our patient from cerebral infarction. This case demonstrates the importance of the offering this procedure at neurointerventional centers.

摘要

我们报告了1例前交通动脉破裂动脉瘤血管内治疗后发生大脑中动脉血栓栓塞性闭塞的病例。当纤溶治疗未能使闭塞血管再通时,进行了紧急颅外-颅内搭桥手术。该干预措施使我们的患者免于脑梗死。本病例证明了在神经介入中心开展该手术的重要性。

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