ID 110323
Title Transcription
シンコウセイ ニ ゾウアク オ キタシ ケッカンナイ チリョウ オ シコウ シタ ミギナイ ケイドウミャク ヘイソク ノ 1レイ
Title Alternative
Endovascular revascularization for a totally occluded cervical internal carotid artery in a progressing ischemic stroke patient : case report
Author
Bando, Mika The Post-graduate Education Center, Tokushima University Hospital Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yamamoto, Nobuaki Department of Neurology, the University of Tokushima Graduate School
Terasawa, Yuka Department of Neurology, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Izumi, Yuishin Department of Neurology, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Kaji, Ryuji Department of Neurology, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Satomi, Junichiro Department of Neurosurgery, Institute of Health Biosciences, the University of Tokushima Graduate School KAKEN Search Researchers
Nagahiro, Shinji Department of Neurosurgery, Institute of Health Biosciences, the University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
ICA occlusion
progressing stroke
endovascular revascularization
Content Type
Journal Article
Description
A 77-year-old man was admitted to our hospital in July 2009 with monoparesis of the left upper extremity. His magnetic resonance images(MRI)demonstrated multiple infarction in the right temporoparietal lobe, and his emergent cerebral angiography revealed total occlusion of the right internal carotid artery(ICA)at the origin. We diagnosed atherothrombotic infarction and started to treat with antiplatelet drugs. But, his symptoms were gradually progressing despite medical treatment and his MRI showed an enlargement of ischemic lesion8days after admission. Because the hemodynamic enlargement due to ICA occlusion and DWI-PWI mismatch was detected, we performed emergent PTA(percutaneous transluminal angioplasty)and CAS(carotid artery stent placement)at that time. The ICA was completely recanalized without any complications. His symptoms were getting better, and his cerebral blood flow improved at rest on single photon emission computed tomography(SPECT)6days after treatment. He was transferred to another hospital17days after the onset. This case experience suggests that endovascular revascularization can be considered as potential treatment for symptomatic ICA occlusion based on atherosclerosis even in the subacute stage of the stroke patients.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
66
Issue
3-4
Start Page
101
End Page
106
Sort Key
101
Published Date
2010-08-25
EDB ID
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences