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用于难治性大脑中动脉栓塞的平行支架取栓技术：病例报告

Parallel Stent Retriever Technique for a Refractory Middle Cerebral Artery Embolism: A Technical Case Report.

作者信息

Kato Naoki, Kinkori Takeshi, Watanabe Kenichi, Kibe Yuji, Arima Toru

机构信息

Department of Neurosurgery, Okazaki City Hospital, Okazaki, Aichi, Japan.

Department of Radiology, Okazaki City Hospital, Okazaki, Aichi, Japan.

出版信息

J Neuroendovasc Ther. 2020;14(11):522-527. doi: 10.5797/jnet.tn.2020-0009. Epub 2020 Aug 28.

DOI:10.5797/jnet.tn.2020-0009
PMID:37501766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10370948/
Abstract

OBJECTIVE

To report a patient who achieved complete recanalization using the parallel stent retriever (SR) technique for a refractory acute middle cerebral artery (MCA) embolism.

CASE PRESENTATION

An 86-year-old woman underwent an emergency thrombectomy for acute right MCA occlusion. Although thrombectomy has been attempted three times with the conventional technique using a single SR, no recanalization was achieved. Then, an innovative technique was used to deploy two SRs in parallel with the M1 segment of the MCA. Pulling them back simultaneously, the thrombus was retrieved, and complete recanalization was achieved.

CONCLUSION

The parallel SR technique is a feasible method and can be considered as one of the last treatment resorts for acute refractory embolisms at the major MCA trunk.

摘要

目的

报告1例采用平行支架取栓器（SR）技术成功实现完全再通的难治性急性大脑中动脉（MCA）栓塞患者。

病例介绍

一名86岁女性因急性右侧MCA闭塞接受了急诊取栓术。尽管使用单个SR的传统技术尝试取栓3次，但均未实现再通。随后，采用一种创新技术在MCA的M1段平行部署两个SR。同时将它们回撤，成功取出血栓，实现了完全再通。

结论

平行SR技术是一种可行的方法，可被视为主要MCA主干急性难治性栓塞的最后治疗手段之一。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/dc555a1549b2/jnet-14-522-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/fab247a16d32/jnet-14-522-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/dee7d797f971/jnet-14-522-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/b9bb5a2993c9/jnet-14-522-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/2b01a6e8dada/jnet-14-522-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/dc555a1549b2/jnet-14-522-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/fab247a16d32/jnet-14-522-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/dee7d797f971/jnet-14-522-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/b9bb5a2993c9/jnet-14-522-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/2b01a6e8dada/jnet-14-522-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d58/10370948/dc555a1549b2/jnet-14-522-g005.jpg

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