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中华介入放射学电子杂志 ›› 2019, Vol. 07 ›› Issue (04) : 294 -299. doi: 10.3877/cma.j.issn.2095-5782.2019.04.007

所属专题: 经典病例 文献

神经介入

Solitaire FR支架解脱前球囊扩张技术在急性大血管闭塞困难取栓中的应用一例
王子栋1, 刘晓莉2, 崔庆轲1, 张萌1, 林凯1, 郝继恒1, 刘超1, 张利勇1,()   
  1. 1. 252000 山东聊城,聊城市脑科医院血管神经外科
    2. 252000 山东聊城,聊城市脑科医院呼吸内科
  • 收稿日期:2019-09-13 出版日期:2019-11-01
  • 通信作者: 张利勇
  • 基金资助:
    国家十三五科技支撑计划项目(2015BAI12B040)

The application of balloon expansion technology before the liberation of Solitaire FR stent in difficult thrombectomy for acute vascular occlusion: A case report

Zidong Wang1, Xiaoli Liu2, Qingke Cui1   

  • Received:2019-09-13 Published:2019-11-01
引用本文:

王子栋, 刘晓莉, 崔庆轲, 张萌, 林凯, 郝继恒, 刘超, 张利勇. Solitaire FR支架解脱前球囊扩张技术在急性大血管闭塞困难取栓中的应用一例[J]. 中华介入放射学电子杂志, 2019, 07(04): 294-299.

Zidong Wang, Xiaoli Liu, Qingke Cui. The application of balloon expansion technology before the liberation of Solitaire FR stent in difficult thrombectomy for acute vascular occlusion: A case report[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2019, 07(04): 294-299.

图1 颅脑CTP示左侧大脑中动脉供血区域明显低灌注,代偿较差
图2 Navien导管到位后路途显示左侧大脑中动脉闭塞
图3 第1次SolitaireFR 6-30到位并释放后血流恢复,M1段主干及分叉处支架形态局部不佳
图4 第1次支架取栓后,大脑中动脉上干分支再通,余分支主干仍未见显影
图5 第2次支架置入后,大脑中动脉各分支血流恢复
图6 第2次支架取栓后大脑中动脉各分支显影良好,M1段局部见充盈缺损
图7 第3次支架置入后,支架内球囊扩张
图8 初次球扩后,造影显示大脑中动脉M1段局部仍有充盈缺损,考虑合并原位狭窄
图9 Solitaire FR 4-15支架到位并释放,造影显示原狭窄处较前改善,但仍可见局部充盈缺损
图10 再次支架内囊球扩张
图11 再次球扩后,造影显示狭窄基本消失,各分支显影良好
图12 术后病理示血栓组织中还有动脉纤维斑块组织
图13 CTA示左侧大脑中动脉血管通畅(白色箭头所指)
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