ENDOVASCULAR TREATMENT OF ACUTE THROMBOTIC OCCLUSION OF THE CERVICAL INTERNAL CAROTID-ARTERY ASSOCIATED WITH EMBOLIC OCCLUSION OF THE MIDDLE CEREBRAL-ARTERY - CASE-REPORT

被引:20
作者
KOMIYAMA, M
NISHIO, A
NISHIJIMA, Y
机构
[1] Department of Neurosurgery, Baba Memorial Hospital, Sakai, Osaka
关键词
D O I
10.1227/00006123-199402000-00023
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
A 68-YEAR-OLD MAN with acute, total thrombotic occlusion of the right cervical internal carotid artery, associated with embolic occlusion of the ipsilateral middle cerebral artery, was treated by the endovascular approach, i.e., intra-arterial fibrinolysis and balloon angioplasty. Endovascular treatment for a totally occluded internal carotid artery is indicated in the very early stage where there is no thrombus or a short thrombus that can be evacuated. Fibrinolysis of the associated embolus in the middle cerebral artery, if any, can be done in the same session, enabling an early restoration of the blood flow.
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页码:359 / 363
页数:5
相关论文
共 29 条
[1]  
BOCKENHEIMER SAM, 1983, AM J NEURORADIOL, V4, P791
[2]   INTERNAL CAROTID OCCLUSION - A PROSPECTIVE-STUDY [J].
COTE, R ;
BARNETT, HJM ;
TAYLOR, DW .
STROKE, 1983, 14 (06) :898-902
[3]  
COURTHEOUX P, 1986, J NEURORADIOLOGY, V13, P111
[4]   COMPLETE OCCLUSION OF COMMON OR INTERNAL CAROTID ARTERIES - CLINICAL SIGNIFICANCE [J].
DYKEN, ML ;
KLATTE, E ;
KOLAR, OJ ;
SPURGEON, C .
ARCHIVES OF NEUROLOGY, 1974, 30 (05) :343-346
[5]   JOINT STUDY OF EXTRACRANIAL ARTERIAL-OCCLUSION .10. INTERNAL CAROTID-ARTERY OCCLUSION [J].
FIELDS, WS ;
LEMAK, NA .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1976, 235 (25) :2734-2738
[6]   TRANS-LUMINAL DILATATION OF INTERNAL CAROTID-ARTERY IN FIBROMUSCULAR DYSPLASIA - A PRELIMINARY-REPORT [J].
GARRIDO, E ;
MONTOYA, J .
SURGICAL NEUROLOGY, 1981, 16 (06) :469-471
[7]  
GONZALEZ LL, 1966, SURG GYNECOL OBSTET, V122, P775
[8]   OCCLUSION OF CAROTID-ARTERY - PROGNOSIS (NATURAL-HISTORY) AND POSSIBILITIES OF SURGICAL REVASCULARIZATION [J].
GRILLO, P ;
PATTERSON, RH .
STROKE, 1975, 6 (01) :17-20
[9]  
HAFNER CD, 1981, SURGERY, V89, P710
[10]   CAROTID THROMBOENDARTERECTOMY - A REAPPRAISAL - CRITERIA FOR PATIENT SELECTION [J].
HUGENHOLTZ, H ;
ELGIE, RG .
JOURNAL OF NEUROSURGERY, 1980, 53 (06) :776-783