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经胸超声心动图引导血流动力学管理以维持颅外-颅内旁路手术病例中的脑灌注:病例报告

Transthoracic Echocardiogram Guided Hemodynamic Management to Maintain Cerebral Perfusion in an Extracranial-Intracranial Bypass Case: Case Report.

作者信息

Allen Beddome C, Oravec Chesney S, Wolfe Stacey Q, Vallabhajosyula Saraschandra, Kapoor Sahil, Bethina Sai Varun, Sarwal Aarti

机构信息

Department of Neurology UH Cleveland Medical Center, Cleveland, Ohio, United States.

Department of Neurological Surgery, Atrium Health Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, United States.

出版信息

J Neurol Surg Rep. 2025 Jul 22;86(3):e165-e169. doi: 10.1055/a-2650-6679. eCollection 2025 Jul.

Abstract

A 70-year-old man with transient ischemic attacks (TIAs) due to left internal carotid artery (ICA) occlusion underwent external carotid to ICA bypass which occluded postoperatively. He developed aphasia which resolved with induced hypertension optimized by using serial transthoracic echocardiography in the setting of left ventricle outflow tract obstruction.

摘要

一名70岁男性因左颈内动脉闭塞出现短暂性脑缺血发作,接受了颈外动脉至颈内动脉搭桥手术,但术后搭桥血管闭塞。他出现了失语症,在左心室流出道梗阻的情况下,通过连续经胸超声心动图优化诱导高血压后,失语症得以缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c71/12283219/9ef762628615/10-1055-a-2650-6679_26619294.jpg

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