• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of Clinical Ultrasound: JCU >Acute carotid artery dissection treated with stenting and hematoma aspiration guided by ultrasonography
【24h】

Acute carotid artery dissection treated with stenting and hematoma aspiration guided by ultrasonography

机译：超声引导下支架置入和血肿抽吸治疗急性颈动脉夹层

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

We report the successful treatment of dissection with stenosis of the carotid artery by stenting and aspiration of hematoma. A male patient, presenting with acute blurred vision and weakness and numbness of the right side of his body, was diagnosed with common carotid artery (CCA) dissection and severe stenosis of the internal carotid artery and CCA by digital subtraction arteriography and color Doppler ultrasonography (CDU). Two stents were separately implanted into the left internal carotid artery and CCA to restore blood flow and seal the opening of the dissection. The hematoma inside the CCA dissection was transcutaneously aspirated under CDU guidance after thrombolysis with tissue plasminogen activator. Three days after the operation, the dissection was still sealed. The patient was discharged 1 week later without any signs or symptoms. Follow-up examination at 70 days confirmed complete healing of the CCA dissection. Transcutaneous intradissection hematoma aspiration with CDU guidance may be applicable in treating arterial dissection, especially when conservative treatments cannot be expected to improve severe flow disturbances.
机译：我们报告通过支架置入术和血肿抽吸术成功治疗颈动脉狭窄的解剖。一名男病人表现为急性视力模糊，身体右侧无力和麻木，通过数字减影动脉造影和彩色多普勒超声检查被诊断为颈总动脉夹层以及颈内动脉和CCA严重狭窄（ CDU）。将两个支架分别植入左颈内动脉和CCA中，以恢复血流并密封解剖结构的开口。用组织纤溶酶原激活剂溶栓后，在CDU引导下经皮抽吸CCA夹层内的血肿。手术三天后，解剖仍被密封。 1周后患者出院，无任何体征或症状。 70天的随访检查证实了CCA夹层的完全愈合。在CDU指导下进行经皮夹层内血肿抽吸术可能适用于治疗动脉夹层，特别是当不能期望采用保守治疗来改善严重血流障碍时。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号