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主动脉弓光秃区血管内再血管化治疗严重脑缺血

Endovascular revascularization of bald aortic arch for severe cerebral ischemia.

机构信息

Department of Cardiology, G B Pant Hospital and associated MAM College, New Delhi, India.

出版信息

Catheter Cardiovasc Interv. 2013 Jun 1;81(7):1213-6. doi: 10.1002/ccd.24712. Epub 2013 Mar 2.

DOI:10.1002/ccd.24712
PMID:23436624
Abstract

Takayasu arteritis is a rare form of chronic, inflammatory arteriopathy affecting the aorta and its major branches. Obstructive lesions of all arch vessels lead to ischemic brain symptoms. There is very limited experience of endovascular revascularization in this situation. We report case of a female patient with potentially life threatening cerebral ischemic symptoms due to extra-cranial occlusion of all arch arteries. Stent supported angioplasty of brachiocephalic, right common carotid and right subclavian artery was successfully performed. This improved her cerebral blood flow and relieved her severe, disabling neurologic symptoms.

摘要

Takayasu 动脉炎是一种罕见的慢性、炎症性动脉疾病,影响主动脉及其主要分支。所有弓状血管的阻塞性病变导致缺血性脑症状。在这种情况下,血管内再血管化的经验非常有限。我们报告了一例女性患者,由于所有弓状动脉的颅外闭塞,出现危及生命的脑缺血症状。成功地进行了肱动脉、右颈总动脉和右锁骨下动脉的支架血管成形术。这改善了她的脑血流,缓解了她严重的、致残的神经症状。

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