一名采用双层微网支架行经颈动脉支架置入术治疗的伴有颈动脉活动斑块的患者。
A Patient with Carotid Mobile Plaques Treated by Carotid Artery Stenting Using a Double-layer Micromesh Stent.
作者信息
Kuwahara Shuntaro, Matsukawa Hidetoshi, Yamada Kiyofumi, Uchida Kazutaka, Shirakawa Manabu, Yoshimura Shinichi
机构信息
Department of Neurosurgery, Goshi Hospital, Amagasaki, Hyogo, Japan.
Department of Neurosurgery, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.
出版信息
J Neuroendovasc Ther. 2020;14(11):495-500. doi: 10.5797/jnet.cr.2019-0045. Epub 2020 Sep 3.
OBJECTIVE
We report a case of carotid mobile plaques treated by carotid artery stenting (CAS) using a double-layer micromesh stent (CASPER stent).
CASE PRESENTATION
An 86-year-old male presented with lightheadedness. Carotid artery ultrasound revealed mobile plaques in the right internal carotid artery (ICA). Head and neck MRI demonstrated concomitant left ICA occlusion. We first started medical treatment, but it could not reduce the plaque size. Then, we performed CAS using a CASPER stent in addition to medical treatment. The procedure was finished without complications, and there was no plaque protrusion. The postoperative course was uneventful during 3 years of follow-up.
CONCLUSION
A mobile plaque of the carotid artery may be treated less-invasively with a micromesh stent.
目的
我们报告一例使用双层微网支架（CASPER支架）行经颈动脉支架置入术（CAS）治疗的颈动脉活动斑块病例。
病例介绍
一名86岁男性出现头晕症状。颈动脉超声显示右侧颈内动脉（ICA）有活动斑块。头颈部MRI显示左侧颈内动脉同时闭塞。我们首先开始药物治疗，但无法缩小斑块大小。然后，除药物治疗外，我们使用CASPER支架进行了CAS。手术顺利完成，无并发症，且无斑块突出。在3年的随访期间，术后过程平稳。
结论
颈动脉活动斑块可用微网支架进行微创治疗。
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