Kojima Iori, Shimozato Rin, Hayashi Mototaka, Iijima Akira
Department of Neuroendovascular Treatment, JCHO Tokyo Shinjuku Medical Center, Tokyo, Japan.
J Neuroendovasc Ther. 2020;14(6):215-221. doi: 10.5797/jnet.cr.2019-0024. Epub 2020 Mar 31.
We report a patient with basilar artery embolism caused by vertebral artery stenosis who was successfully treated using simultaneous percutaneous transluminal angioplasty (PTA) and mechanical thrombectomy.
A 64-year-old male, who had undergone medical treatment for cerebellum infarction at another hospital, was referred to our hospital due to disturbance of consciousness. Angiography revealed acute occlusion of the first part of the right vertebral artery and an embolism of the top of basilar artery. After performing PTA to create an approach route for the embolism, we collected it using a clot recovering device. The postoperative course was good, and the patient was discharged with mild ataxia and dysarthria.
We report the successful treatment of progressive cerebral infarction of the posterior circulation with revascularization 30 hours after symptom onset. Unlike the anterior circulation, the posterior circulation consists of smaller arteries and fewer collateral arteries, making it vulnerable to ischemic attack. Therefore, shortening the time until treatment may improve the outcome.
我们报告一例由椎动脉狭窄导致基底动脉栓塞的患者，该患者通过同时进行经皮腔内血管成形术（PTA）和机械取栓术成功治愈。
一名64岁男性，曾在另一家医院接受小脑梗死治疗，因意识障碍转诊至我院。血管造影显示右椎动脉第一段急性闭塞及基底动脉顶端栓塞。在进行PTA以建立栓塞的通路后，我们使用血栓回收装置将其取出。术后病程顺利，患者出院时伴有轻度共济失调和构音障碍。
我们报告了在症状出现30小时后通过血管重建成功治疗后循环进展性脑梗死的病例。与前循环不同，后循环由较小的动脉和较少的侧支动脉组成，使其易受缺血性攻击。因此，缩短治疗时间可能会改善预后。
