Otawa Masato, Kinkori Takeshi, Watanabe Kenichi, Ando Ryo, Tambara Masao, Arima Toru
Department of Neurosurgery, Okazaki City Hospital.
No Shinkei Geka. 2016 Jun;44(6):489-94. doi: 10.11477/mf.1436203316.
We experienced a case of carotid free-floating thrombus treated by carotid ultrasonography-guided endovascular approach. A 63-year-old man was brought to our hospital with the chief complaint of sudden onset left hemiplegia. MRI revealed acute infarction of the right MCA territory due to the right M1 occlusion. Carotid ultrasonography showed a pedunculated, polypoid mobile plaque floating with the cardiac beat. We attempted ultrasonography-guided endovascular treatment. Under proximal balloon protection, the floating plaque was successfully aspirated into the Penumbra aspiration catheter. Carotid stent was also placed to stabilize the residual pedicle of the plaque. Aspirated plaque was identified as fresh thrombus by pathological examination. Carotid ultrasonography-guided endovascular approach was effective for getting the picture of real-time dynamics of the carotid FFT.
我们遇到了一例通过颈动脉超声引导下血管内治疗方法治疗的颈动脉游离血栓病例。一名63岁男性因突发左侧偏瘫为主诉被送至我院。MRI显示由于右侧M1段闭塞导致右侧大脑中动脉区域急性梗死。颈动脉超声显示一个带蒂的、息肉样的可随心跳移动的斑块。我们尝试了超声引导下血管内治疗。在近端球囊保护下，成功将漂浮的斑块吸入Penumbra抽吸导管。还置入了颈动脉支架以稳定斑块的残余蒂部。经病理检查，吸出的斑块被确认为新鲜血栓。颈动脉超声引导下血管内治疗方法对于了解颈动脉游离血栓的实时动态情况是有效的。
