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
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Title Alternative | Endovascular revascularization for a totally occluded cervical internal carotid artery in a progressing ischemic stroke patient : case report
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Author |
Bando, Mika
The Post-graduate Education Center, Tokushima University Hospital
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Yamamoto, Nobuaki
Department of Neurology, the University of Tokushima Graduate School
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Terasawa, Yuka
Department of Neurology, Institute of Health Biosciences, the University of Tokushima Graduate School
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Izumi, Yuishin
Department of Neurology, Institute of Health Biosciences, the University of Tokushima Graduate School
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Kaji, Ryuji
Department of Neurology, the University of Tokushima Graduate School
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Satomi, Junichiro
Department of Neurosurgery, Institute of Health Biosciences, the University of Tokushima Graduate School
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Nagahiro, Shinji
Department of Neurosurgery, Institute of Health Biosciences, the University of Tokushima Graduate School
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Keywords | ICA occlusion
progressing stroke
endovascular revascularization
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Content Type |
Journal Article
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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.
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Journal Title |
四国医学雑誌
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ISSN | 00373699
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NCID | AN00102041
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Publisher | 徳島医学会
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Volume | 66
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Issue | 3-4
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Start Page | 101
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End Page | 106
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Sort Key | 101
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Published Date | 2010-08-25
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EDB ID | |
FullText File | |
language |
jpn
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TextVersion |
Publisher
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departments |
University Hospital
Medical Sciences
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