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机械取栓治疗伴有树枝状大脑中动脉的颈内动脉末端闭塞：一例报告

Mechanical Thrombectomy for ICA Top Occlusion with Twig-Like MCA: A Case Report.

作者信息

Sakai Yu, Yoshikawa Gakushi, Sato Katsuya

机构信息

Department of Neurosurgery, Showa General Hospital, Kodaira, Tokyo, Japan.

出版信息

J Neuroendovasc Ther. 2022;16(3):175-180. doi: 10.5797/jnet.cr.2020-0202. Epub 2021 Aug 14.

DOI:10.5797/jnet.cr.2020-0202
PMID:37502284
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10370778/
Abstract

OBJECTIVE

We report a case of hemorrhagic complication after mechanical thrombectomy (MT) for internal carotid artery (ICA) occlusion with twig-like middle cerebral artery (MCA).

CASE PRESENTATION

A 75-year-old man was admitted to our hospital with ICA occlusion. Recanalization was achieved by a direct aspiration first pass technique (ADAPT). The peripheral MCA was twig-like, but operators thought that a thrombus remained in the MCA first segment. The procedure was continued and suspended with perforation of the microguidewire.

CONCLUSION

When performing MT for large vessel occlusion (LVO) with twig-like MCA, it is difficult to proceed a device to the periphery and there is a risk of hemorrhage.

摘要

目的

我们报告一例因大脑中动脉（MCA）呈细枝状的颈内动脉（ICA）闭塞行机械取栓术（MT）后出现出血并发症的病例。

病例介绍

一名75岁男性因ICA闭塞入院。通过直接抽吸首次通过技术（ADAPT）实现了再通。外周MCA呈细枝状，但术者认为血栓仍留在MCA第一段。手术继续进行，因微导丝穿孔而暂停。

结论

当对呈细枝状MCA的大血管闭塞（LVO）进行MT时，将器械推进到外周很困难，且有出血风险。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/8567119f6507/jnet-16-175-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/11487d95756b/jnet-16-175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/0758b3277975/jnet-16-175-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/6cb5aa6ed492/jnet-16-175-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/8567119f6507/jnet-16-175-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/11487d95756b/jnet-16-175-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/0758b3277975/jnet-16-175-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/6cb5aa6ed492/jnet-16-175-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/57fe/10370778/8567119f6507/jnet-16-175-g004.jpg

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