Abe Arata, Okubo Seiji, Onozawa Shiro, Nakajima Masataka, Suzuki Kentaro, Harada-Abe Mina, Ueda Masayuki, Katsura Ken-Ichiro, Katayama Yasuo
Department of Internal Medicine, Division of Neurology, Nippon Medical School; Tokyo, Japan -
Department of Internal Medicine, Division of Neurology, Nippon Medical School; Tokyo, Japan.
Interv Neuroradiol. 2014 May-Jun;20(3):325-8. doi: 10.15274/INR-2014-10022. Epub 2014 Jun 17.
Few reports have described the successful treatment of stroke caused by acute vertebral artery (VA) origin occlusion by endovascular surgery. We describe the case of a 68-year-old man who experienced stroke due to left acute VA origin occlusion. Cerebral angiography showed that the left VA was occluded at its origin, the right VA had hypoplastic and origin stenosis, and the basilar artery was occluded by a thrombus. The VA origin occlusion was initially passed through with a 0.035-inch guide wire. An angioplasty was performed, and a coronary stent was appropriately placed. The VA origin was successfully recanalized. A balloon-assisted guiding catheter was navigated through the stent and a thrombectomy was performed using the Penumbra system. The patient's symptoms gradually improved postoperatively. Balloon-assisted catheter guidance through a vertebral artery stent permitted a successful thrombectomy using the Penumbra system and may be useful for treating stroke due to VA origin occlusion.
很少有报告描述通过血管内手术成功治疗急性椎动脉（VA）起始部闭塞所致的中风。我们描述了一名68岁男性因左急性VA起始部闭塞而发生中风的病例。脑血管造影显示左VA在其起始部闭塞，右VA发育不全且起始部狭窄，基底动脉被血栓闭塞。VA起始部闭塞最初用0.035英寸导丝通过。进行了血管成形术，并适当放置了冠状动脉支架。VA起始部成功再通。通过支架置入球囊辅助引导导管，并使用Penumbra系统进行血栓切除术。患者术后症状逐渐改善。通过椎动脉支架进行球囊辅助导管引导，使用Penumbra系统成功进行血栓切除术，这可能对治疗VA起始部闭塞所致的中风有用。
