[1]康周城,李德帅,李 扬,等.急性串联型椎基底动脉闭塞伴对侧椎动脉闭塞或发育不良患者血管内开通策略[J].介入放射学杂志,2023,32(05):464-469.
 KANG Zhoucheng,LI Deshuai,LI Yang,et al.Recanalization strategies for acute tandem vertebrobasilar artery occlusion with contralateral vertebral artery occlusion or dysplasia[J].journal interventional radiology,2023,32(05):464-469.
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急性串联型椎基底动脉闭塞伴对侧椎动脉闭塞或发育不良患者血管内开通策略()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年05
页码:
464-469
栏目:
临床研究
出版日期:
2023-05-30

文章信息/Info

Title:
Recanalization strategies for acute tandem vertebrobasilar artery occlusion with contralateral vertebral artery occlusion or dysplasia
作者:
康周城 李德帅 李 扬 魏 东 师 瑞
Author(s):
KANG Zhoucheng LI Deshuai LI Yang WEI Dong SHI Rui.
Department of Neurology, First Affiliated Hospital of Air Force Medical University, Xi’an, Shaanxi Province 710032, China
关键词:
【关键词】 急性基底动脉闭塞 串联病变 正向开通 逆向开通
文献标志码:
A
摘要:
【摘要】 目的 探讨急性串联型椎基底动脉闭塞伴对侧椎动脉闭塞或发育不良患者血管内开通治疗策略。方法 回顾性分析2021年1月至12月在空军军医大学第一附属医院接受急诊血管内开通治疗的6例急性基底动脉闭塞伴双侧椎动脉闭塞或优势侧椎动脉闭塞且对侧椎动脉发育不良患者临床资料。根据病变类型和侧支循环条件差异,选择采用不同的开通治疗策略。结果 6例患者均为男性,中位年龄62.7岁。其中经颈深动脉逆向开通椎动脉1例,经颈升动脉逆向造影并在椎动脉闭塞远端滞留对比剂影指引下正向开通椎动脉1例,经优势侧正向开通椎动脉4例;随后均接受基底动脉取栓治疗。术后6例基底动脉改良溶栓治疗脑梗死(mTICI)血流分级达到2b/3,基底动脉开通成功率为6/6。术后3例患者因非手术因素死亡,其余3例改良Rankin量表(mRS)评分分别为0分、0分和3分,预后良好率为2/6。结论 对于急性串联型椎基底动脉闭塞伴对侧椎动脉闭塞或发育不良患者,积极的椎动脉正向或逆向再通术是治疗急性基底动脉闭塞的可行方法。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2022-03-26)
(本文编辑:边 佶)
更新日期/Last Update: 2023-05-30