Kuwajima Atsuuji, Okumura Hirotaka, Nakajo Takato, Hirose Eisuke, Irie Ryo, Kobayashi Yusuke, Higashizono Kazuya, Mizutani Tohru
Department of Neurosurgery, Showa University Hospital, Tokyo, Japan.
Department of Neurosurgery, AOI Universal Hospital, Kawasaki, Kanagawa, Japan.
J Neuroendovasc Ther. 2021;15(10):688-694. doi: 10.5797/jnet.tn.2020-0156. Epub 2021 Feb 3.
We report the use of a Goose Neck microsnare for cervical internal carotid artery (ICA) occlusion in a patient with dolichoarteriopathy in whom it was difficult to achieve recanalization.
A 65-year-old woman underwent thrombectomy for a tandem lesion of left M1 occlusion and left cervical ICA occlusion. Recanalization of left M1 occlusion was achieved. For left cervical ICA occlusion, we attempted multiple thrombectomy using an existing device, but a hard clot with mobility was caught due to dolichoarteriopathy, which made thrombectomy difficult. Using a Goose Neck microsnare, we were able to capture the thrombus and achieve recanalization.
Thrombectomy by capturing the thrombus using a Goose Neck microsnare may be useful for capturing hard clots with mobility when it is difficult to achieve recanalization with existing devices.
我们报告了在一位患有长动脉病变且难以实现再通的患者中，使用鹅颈微圈套器进行颈内动脉（ICA）闭塞治疗的情况。
一名65岁女性因左M1段闭塞和左颈内动脉闭塞的串联病变接受了血栓切除术。左M1段闭塞实现了再通。对于左颈内动脉闭塞，我们使用现有装置尝试了多次血栓切除术，但由于长动脉病变，一个可移动的硬血栓被捕获，这使得血栓切除术变得困难。使用鹅颈微圈套器，我们能够捕获血栓并实现再通。
当使用现有装置难以实现再通时，用鹅颈微圈套器捕获血栓进行血栓切除术可能有助于捕获可移动的硬血栓。
