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首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >Three Cases of Middle Cerebral Artery Occlusion Emergently Revascularized with A Balloon-expandable Coronary Bare Stent After Intravenous Tissue Plasminogen Activator
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Three Cases of Middle Cerebral Artery Occlusion Emergently Revascularized with A Balloon-expandable Coronary Bare Stent After Intravenous Tissue Plasminogen Activator

机译：中脑动脉闭塞的三种患者静脉内组织纤溶酶原激活剂后气球可扩展冠状动脉裸支架急于血管内化

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Background: Revascularization with emergency stent placement in patients with acute middle cerebral artery occlusion is still controversial in Japan. Methods: We placed balloon-expandable coronary bare stents in 3 patients in whom revascularization was not obtained after intravenous tissue plasminogen activator therapy (IV t-PA) for acute ischemic stroke (middle cerebral artery Ml occlusion). Results: Patient 1 was an 87-year-old woman with left hemiplegia. Her National Institutes of Health Stroke Scale score (NIHSS) was 12, and her magnetic resonance imaging diffusion-weighted image Alberta Stroke Programme Early Computed Tomography Score (MRI DWI-ASPECTS) was 8. Adequate revascularization was not obtained with IV t-PA and adjunctive percutaneous transluminal angioplasty (PTA) for right Ml occlusion, and a stent was placed 368 minutes after onset. Her Thrombolysis in Myocardial Infarction Trial (TIMI) score was 2. After 90 days, her modified Rankin scale (mRS) score was 4. Patient 2 was a 65-year-old woman with left hemiplegia. Her NIHSS score was 16, and MRI DWI-ASPECTS was 9. A stent was placed 337 minutes after onset after IV t-PA and adjunctive PTA for right Ml occlusion. Her TIMI score was 3. After 90 days, her mRS score was 3. Patient 3 was a 61-year-old woman with left hemiplegia. Her NIHSS score was 18, and MRI DWI-ASPECTS score was 7. Arterial dissection was found after IV t-PA and adjunctive PTA for the right Ml occlusion, so a stent was placed 312 minutes after onset. Her TIMI score was 2. After 90 days, her mRS score was 0. Conclusions: Revascularization with emergency stent placement seems likely to be successful in patients with acute middle cerebral artery occlusion, but clinical symptoms do not always improve in some cases and care is needed in selecting patients for the procedure.
机译：背景：与急性中间脑动脉闭塞患者的紧急支架放置血运重建于日本仍存在争议。方法：在急性缺血性卒中（中脑动脉ML闭塞后，3患者中，3例患者中未获得血型组织纤溶酶原治疗（IV T-PA）的血管内容的3例患者中放置了球囊可扩展的冠状动脉裸支架。结果：患者1是一个87岁的女性，左偏瘫。她的国家卫生冲程量表评分（NIHSS）为12，她的磁共振成像扩散加权图像艾伯塔卒中计划早期计算断层扫描评分（MRI DWI方面）是8.没有获得IV T-PA和用于右侧M1闭塞的辅助经皮腔内血管成形术（PTA），并在发作后368分钟放置支架。她在心肌梗死试验（Timi）得分的溶栓是2.在90天后，她改进的rankin规模（MRS）得分为4.患者2是一名65岁的女性，左侧偏瘫。她的NIHS得分为16，MRI DWI方面为9.在IV T-PA和右侧ML闭塞的辅助PTA后开始337分钟。她的蒂米得分为3.在90天后，她的得分是3.患者3是一个61岁的女性，左偏瘫。她的NIHSS得分为18岁，MRI DWI方面得分为7.在IV T-PA和右侧ML闭塞的辅助PTA后发现动脉夹层，因此在发作后312分钟置于支架。她的蒂米得分是2.在90天后，她的夫人得分为0.结论：与急性中间脑动脉闭塞的患者血运重建似乎可能是成功的，但在某些情况下，临床症状并不总是有所改善在选择患者中需要进行程序。

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