Seo Woo-Keun, Koh Seong-Beom, Choi Chul Won, Seol Hye-Young
Department of Neurology, College of Medicine, Korea University Guro Hospital, Korea University, Seoul, Korea.
Department of Internal Medicine, College of Medicine, Korea University Guro Hospital, Korea University, Seoul, Korea.
J Neurol Surg A Cent Eur Neurosurg. 2013 Dec;74 Suppl 1:e62-5. doi: 10.1055/s-0032-1315795. Epub 2012 Jul 9.
Various medical comorbidities such as thrombocytopenia can be obstacles for managing patients with carotid artery disease.
We describe our experience with urgent carotid artery stenting for symptomatic carotid artery stenosis in a patient with severe thrombocytopenia. During the treatment, several issues such as mechanism of infarction in carotid artery stenosis, timing of endovascular intervention, and decision making for intervention in patients with thrombocytopenia were discussed. Although the patient experienced complications after carotid artery stenting, he recovered with only mild sequelae.
Timely decision is required and individualized treatment strategies should be considered to achieve good results under the given conditions.
各种医学合并症，如血小板减少症，可能成为颈动脉疾病患者治疗的障碍。
我们描述了对一名严重血小板减少症患者进行有症状颈动脉狭窄紧急颈动脉支架置入术的经验。在治疗过程中，讨论了颈动脉狭窄梗死机制、血管内介入时机以及血小板减少症患者的介入决策等几个问题。尽管患者在颈动脉支架置入术后出现了并发症，但仅遗留轻度后遗症而康复。
需要及时做出决策，并应考虑个体化治疗策略，以便在给定条件下取得良好效果。
