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长鞘导引导管辅助取栓技术（L-SHARE）治疗巨大血栓所致大血管闭塞

Long-sheath Introducer-assisted Revascularization (L-SHARE) Technique for Treating Large-vessel Occlusion by a Giant Clot.

机构信息

Department of Neurology, Graduate School of Biomedical Sciences, Tokushima University, Japan.

Department of Advanced Brain Research, Graduate School of Biomedical Sciences, Tokushima University, Japan.

出版信息

Intern Med. 2023 Mar 15;62(6):909-913. doi: 10.2169/internalmedicine.0089-22. Epub 2022 Aug 10.

DOI:10.2169/internalmedicine.0089-22
PMID:35945008
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10076125/
Abstract

Revascularization for common carotid artery (CCA) occlusion might be difficult. We reported our strategy for revascularizing CCA occlusion by giant clots. A 94-year-old woman was transferred to our hospital because of right hemiparesis and aphasia. CCA occlusion and giant clots were detected on ultrasonography. We performed mechanical thrombectomy using a 9-Fr balloon-guiding catheter, stent retriever, and aspiration catheter through a 9-Fr long-sheath introducer [long-sheath introducer-assisted revascularization (L-SHARE) technique]. We successfully recanalized CCA occlusion using this method. The L-SHARE technique might be useful for recanalization of CCA occlusion.

摘要

颈总动脉（CCA）闭塞的血运重建可能较为困难。我们报告了使用巨大血栓进行 CCA 闭塞血运重建的策略。一位 94 岁女性因右侧偏瘫和失语症转入我院。超声检查发现 CCA 闭塞和巨大血栓。我们通过 9Fr 长鞘引入器使用 9Fr 球囊引导导管、支架取栓器和抽吸导管进行机械血栓切除术[长鞘辅助血运重建（L-SHARE）技术]。我们成功地使用该方法使 CCA 闭塞再通。L-SHARE 技术可能对 CCA 闭塞再通有用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a76/10076125/1e760e48a13c/1349-7235-62-0909-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a76/10076125/009d8f4b23ea/1349-7235-62-0909-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a76/10076125/1e760e48a13c/1349-7235-62-0909-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a76/10076125/009d8f4b23ea/1349-7235-62-0909-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8a76/10076125/1e760e48a13c/1349-7235-62-0909-g002.jpg

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