Li Ning, Jiang Xinzhao, Baghdasaryan Zhora, Wang Peng
The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Department of Neurology, Center for Rehabilitation Medicine, Zhejiang Provincial People's Hospital, Affiliated People's Hospital of Hangzhou Medical College, Hangzhou, China.
J Interv Med. 2023 Apr 24;6(2):103-106. doi: 10.1016/j.jimed.2023.04.003. eCollection 2023 May.
The standard treatment for internal carotid artery (ICA) dissection is obscure. Current therapeutic strategies include the use of antiplatelet drugs, anticoagulant drugs, intravenous thrombolysis, and endovascular treatment. Endovascular treatment is important in acute internal carotid artery dissection. This study reports two acute internal carotid artery dissection cases that were treated successfully using the Xpert-Pro peripheral self-expanding stent system.
The first case was of a 38-year-old male patient with transient speechlessness and paralysis of the right limb in July 2021. Cervical computed tomographic angiography (CTA) showed ICA occlusion on the left side. Digital subtraction angiography (DSA) showed severe stenosis of the C1 segment of the left internal carotid artery with intermural hematoma. The patient subsequently underwent Xpert-Pro peripheral self-expanding stent implantation, and his condition stabilized. The second case was of a 56-year-old male patient with speechlessness and paralysis of the right limb. Cervical CTA showed a dissected left ICA, and DSA showed an occluded left ICA and middle cerebral artery. The patient subsequently underwent stent implantation, and his condition stabilized.
颈内动脉（ICA）夹层的标准治疗方法尚不明确。目前的治疗策略包括使用抗血小板药物、抗凝药物、静脉溶栓和血管内治疗。血管内治疗在急性颈内动脉夹层中很重要。本研究报告了两例使用Xpert-Pro外周自膨式支架系统成功治疗的急性颈内动脉夹层病例。
第一例为一名38岁男性患者，于2021年7月出现短暂性失语和右肢麻痹。颈部计算机断层血管造影（CTA）显示左侧颈内动脉闭塞。数字减影血管造影（DSA）显示左颈内动脉C1段严重狭窄并伴有壁间血肿。该患者随后接受了Xpert-Pro外周自膨式支架植入术，病情稳定。第二例为一名56岁男性患者，出现失语和右肢麻痹。颈部CTA显示左侧颈内动脉夹层，DSA显示左侧颈内动脉和大脑中动脉闭塞。该患者随后接受了支架植入术，病情稳定。
