肺叶切除术后急性近端前循环闭塞的血管内治疗：两例报告
Acute Proximal Anterior Circulation Occlusion after Pulmonary Lobectomy Treated by Endovascular Therapy: Two Case Reports.
作者信息
Masahira Noritaka, Ohta Tsuyoshi, Tsuno Takaya, Okada Kenji, Fukuda Maki, Ueba Yusuke, Matsuoka Toshiki, Takemura Mitsuhiro, Nishimoto Shota, Okamoto Taku
机构信息
Department of Neurosurgery, Kochi Health Sciences Center, Kochi, Kochi, Japan.
Department of Neurosurgery, Kochi University Hospital, Nankoku, Kochi, Japan.
出版信息
J Neuroendovasc Ther. 2020;14(4):141-145. doi: 10.5797/jnet.cr.2019-0067. Epub 2020 Feb 27.
OBJECTIVE
We report two cases of acute proximal anterior circulation occlusion after pulmonary lobectomy.
CASE PRESENTATION
Case 1 was a 64-year-old male who presented with occlusion of the right middle cerebral artery (MCA) one day after left lower lobectomy. Case 2 was a 68-year-old male who presented with occlusion of the right internal carotid artery (ICA). In both cases, mechanical thrombectomy was performed for complete recanalization and symptoms were improved.
CONCLUSION
Prompt mechanical thrombectomy in the acute phase after pulmonary lobectomy improved the prognosis of patients with acute proximal anterior circulation occlusion. It is important to share information about ischemic complications with medical staff engaged in thoracic surgery.
目的
我们报告两例肺叶切除术后急性近端前循环闭塞的病例。
病例介绍
病例1为一名64岁男性，在左肺下叶切除术后一天出现右大脑中动脉（MCA）闭塞。病例2为一名68岁男性，出现右颈内动脉（ICA）闭塞。在这两个病例中，均进行了机械取栓术以实现完全再通，症状得到改善。
结论
肺叶切除术后急性期及时进行机械取栓术可改善急性近端前循环闭塞患者的预后。与从事胸外科手术的医务人员分享缺血性并发症的信息很重要。
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