중간대뇌동맥과 두개외 속목동맥의 급성 일렬폐색에 의한 초급성 뇌경색 환자에서 성공적인 혈관내 물리적 혈전제거치료 성공 증례

Previous studies have shown that patients with tandem occlusions involving extracranial internal carotid artery (ICA) and middle cerebral artery (MCA) have lower likelihood of recanalization by standard intravenous thrombolytic therapy. A 70-years-old man with a history of hypertension was admitted...

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Published inJournal of stroke pp. 147 - 151
Main Authors 유동우, 이시백, 한시령, 박형은, 배대웅, 구자성, 김범수
Format Journal Article
LanguageKorean
Published 대한뇌졸중학회 01.12.2011
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Summary:Previous studies have shown that patients with tandem occlusions involving extracranial internal carotid artery (ICA) and middle cerebral artery (MCA) have lower likelihood of recanalization by standard intravenous thrombolytic therapy. A 70-years-old man with a history of hypertension was admitted because of left hemiplegia and drowsiness which developed 47 minutes ago. On neurologic examination, he was drowsy and showed neglect syndrome as well as left hemiplegia. Brain CT angiography showed tandem occlusions at right extracranial ICA and proximal MCA. The administration of intravenous (IV) tissue plasminogen activator (tPA) did not improve his symptoms. We performed angioplasty and stenting for proximal ICA occlusion followed by mechanical thrombolysis for MCA occlusion. After the endovascular treatment, the MCA was recanalized and the patient recovered to show only mild left side weakness. This case shows successful treatment of hyperacute ischemic infarction from tendem occlusion of right MCA and proximal ICA with endovascular treatment following IV tPA thrombolysis. (Korean J Stroke 2011;13:147-151) KCI Citation Count: 0
Bibliography:http://www.stroke.or.kr/journal/view.php?page=1&number=558&year=2011&vol=13&no=3&startpage=147&endpage=151&page_type=
G704-SER000008649.2011.13.3.004
ISSN:1229-4101
2287-6405