[1]杨增升 巩晓宁 王燕 张大为 姜威 于战涛.颈动脉穿刺入路大脑中动脉M1闭塞机械取栓1例并文献回顾[J].卒中与神经疾病杂志,2019,26(05):531-534.[doi:10.3969/j.issn.1007-0478.2019.05.006]
　Yang Zengsheng,Gong Xiaoning,Wang Yan,et al.The mechanical embolectomy for the middle cerebral artery M1 occlusion of carotid artery puncture approach:A case report and literature review[J].Stroke and Nervous Diseases,2019,26(05):531-534.[doi:10.3969/j.issn.1007-0478.2019.05.006]
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颈动脉穿刺入路大脑中动脉M1闭塞机械取栓1例并文献回顾()
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《卒中与神经疾病》杂志[ISSN:1007-0478/CN:42-1402/R]

卷:
第26卷
期数:
2019年05期
页码:
531-534
栏目:
论 著
出版日期:
2019-10-20

文章信息/Info

Title:
The mechanical embolectomy for the middle cerebral artery M1 occlusion of carotid artery puncture approach:A case report and literature review
文章编号:
1007-0478(2019)05-0531-04
作者:
杨增升 巩晓宁 王燕 张大为 姜威 于战涛
264205 山东省威海市立第三医院神经内科[杨增升 巩晓宁 王燕 张大为 姜威 于战涛(通信作者)]
Author(s):
Yang Zengsheng;  Gong Xiaoning;  Wang Yan;  et al.
Department of Neurology, Weihai Municipal Third Hospital, Weihai Shandong 264205
关键词:
急性缺血性脑卒中 机械取栓 颈动脉穿刺
Keywords:
Acute ischemic stroke Mechanical embolectomy Carotid artery puncture
分类号:
R743.3
DOI:
10.3969/j.issn.1007-0478.2019.05.006
文献标志码:
A
摘要:
目的 探讨在急性前循环大动脉闭塞所致缺血性脑卒中急诊机械取栓术中股动脉入路失败后颈动脉入路的穿刺细节及可行性分析。方法 报道1例急性大脑中动脉M1闭塞患者股动脉入路失败,改颈动脉穿刺成功完成支架取栓手术。对以下数据库收录的论文进行检索:中国期刊全文数据库(CNKI)、中国生物医学文献数据库(CBM)、生物医学文献数据库(PubMed)、万方数据知识服务平台。结果 可检索到颈动脉穿刺入路脑血管造影、颈动脉支架置入术、颅内动脉瘤栓塞术的相关报道,主要描述到颈动脉入路的可行性及穿刺并发症。结论 急性前循环大动脉闭塞所致缺血性脑卒中患者在急诊取栓术中如主动脉弓上血管迂曲或变异经股动脉或桡动脉(肱动脉)入路困难或失败者,可改颈动脉穿刺完成手术,有一定的手术可行性,但因相关病例报道较少,安全性仍需进一步探讨。
Abstract:
ObjectiveTo investigate the puncture details and feasibility analysis of carotid artery approach after the failure of femoral artery approach in emergency stent embolization in acute prevascular ischemic stroke.Methods A patient with acute middle cerebral artery M1 occlusion was reported.The femoral artery access failed and the stent embolization operation was successfully completed.Retrieving papers from the following databases from January 2015 to June 2018:China Journal Full Text Database(CNKI),China Biomedical Documentation Database(CBM),National Biotechnology Center(NCBI),Biomedical Documentation Database(PubMed),Universal Data Knowledge Service Platform.Results The related reports of carotid artery puncture into the road cerebral angiography,carotid artery stent implantation,intracranial aneurysm embolization could be retrieved,mainly describing the feasibility of carotid artery entry and puncture complications.Conclusion Patients with acute anterior circulation of large blood vessel ischemic stroke in the emergency diagnosis thrombosis,such as aortic arch blood vessels twisted or mutated,through the femoral artery or radial artery(brachial artery)access difficulties or failure,could change the carotid artery puncture to complete the operation,There were some feasibilities of the operation.However,due to the small number of relevant case reports,safety still needed to be further explored.

参考文献/References:

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备注/Memo

备注/Memo:
(2019-12-17收稿)
更新日期/Last Update: 2019-10-20