The First Clinical Medical College, Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China.
Department of Intervention, the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, Henan, China.
Medicine (Baltimore). 2022 Sep 9;101(36):e30541. doi: 10.1097/MD.0000000000030541.
Stent thrombosis is a rare but serious complication that requires timely treatment. Catheter thrombectomy is the first-line therapy for this condition; however, it may be challenging for patients with in-stent emboli located in the basilar artery.
Herein, we reported 2 cases with stent thrombosis in the vertebrobasilar artery, including their imaging and clinical findings. Both patients were successfully treated with stent retriever thrombectomy.
The presence of cerebral infarction was diagnosed by magnetic resonance. Cranial computed tomography excluded cerebral hemorrhage, and basilar artery occlusion was considered in combination with the medical history.
After cerebral angiography confirmed basilar artery occlusion, the stent thrombectomy was used to remove the thrombus.
The emboli were removed from the stent, and the angiography confirmed that the blood flow in the posterior cerebral circulation was recovered to TICI level 3. Moreover, all symptoms disappeared.
Cerebral vascular stent thrombectomy is a feasible approach for treating cerebral vascular stent thrombosis.
支架内血栓形成是一种罕见但严重的并发症，需要及时治疗。血栓切除术是治疗这种情况的一线疗法；然而，对于基底动脉内支架内嵌塞的患者来说，这可能具有挑战性。
本文报告了 2 例椎基底动脉支架内血栓形成的病例，包括其影像学和临床发现。两名患者均成功接受支架取栓术治疗。
磁共振诊断为脑梗死。头颅 CT 排除脑出血，结合病史考虑基底动脉闭塞。
脑血管造影证实基底动脉闭塞后，采用支架取栓术清除血栓。
支架内的栓子被取出，血管造影证实后循环血流恢复至 TICI 3 级。此外，所有症状均消失。
脑血管支架取栓术是治疗脑血管支架内血栓形成的一种可行方法。
