机械取栓治疗大脑中动脉重复畸形所致急性多血管闭塞：一例报告
Mechanical thrombectomy for acute multivessel occlusions with duplicated middle cerebral artery: A case report.
作者信息
Han Hai-Ji, Sang Qiang, Wang Xi-Ming, Wu Yan-Feng
机构信息
Department of Neurology, The Affiliated Kezhou People's Hospital of Nanjing Medical University, Kezhou, China.
Department of Neurology, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, China.
出版信息
Front Neurol. 2023 Jan 9;13:1089255. doi: 10.3389/fneur.2022.1089255. eCollection 2022.
Acute multivessel occlusions generally have multisite clot burden with lower successful reperfusion rates, and cerebrovascular anatomical variants increase the challenge of endovascular clot retrieval. We report a case of acute anterior multivessel occlusions patient with duplicated middle cerebral artery. Combined balloon guide catheter with stent retriever and aspiration approach has gained complete revascularization and good functional outcomes at 3 months follow-up.
急性多血管闭塞通常存在多部位血栓负荷，再灌注成功率较低，而脑血管解剖变异增加了血管内血栓取出的难度。我们报告一例患有双侧大脑中动脉的急性前循环多血管闭塞患者。联合使用球囊导引导管、取栓支架和抽吸方法，在3个月的随访中实现了完全再灌注并取得了良好的功能预后。
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