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经近端和远端支撑技术行手动抽吸血栓切除术治疗术程远端 A2 段栓塞: 1 例技术病例报告。

Manual aspiration thrombectomy through proximal and distal supporting technique for the treatment of procedural distal A2 emboli: A technical case report.

机构信息

Department of Radiology, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, South Korea.

Department of Neurosurgery, Research Institute of Clinical Medicine of Chonbuk National University-Biomedical Research Institute of Chonbuk National University Hospital, South Korea.

出版信息

Neurol Neurochir Pol. 2017 Nov-Dec;51(6):531-533. doi: 10.1016/j.pjnns.2017.08.009. Epub 2017 Aug 24.

Abstract

Disrupted clots that form during endovascular treatment for acute ischemic stroke can cause distal embolization. It is not easy to recanalize occluded vessels resulting from distal emboli. In particular, endovascular treatment of distal A2 emboli is very challenging because it is difficult to access such a distal location and maintain microcatheter stability throughout the procedure. We report a case of successful recanalization of A2 occlusion caused by procedural-induced distal emboli through a proximal and distal supporting technique.

摘要

急性缺血性脑卒中血管内治疗过程中形成的血栓碎裂可能导致远端栓塞。对于由远端栓塞引起的闭塞血管进行再通并不容易。特别是,远端 A2 段栓塞的血管内治疗极具挑战性,因为很难到达如此远端的位置,并在整个手术过程中保持微导管的稳定性。我们报告了一例通过近端和远端支撑技术成功再通由操作引起的远端栓塞所致 A2 段闭塞的病例。

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