首页> 外文期刊>Journal of stroke and cerebrovascular diseases: The official journal of National Stroke Association >T-Configuration Stent Placement for Carotid Bifurcation Stenosis Co-Existing with Ipsilateral Intracranial Stenosis: A Case Report and Literature Review
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T-Configuration Stent Placement for Carotid Bifurcation Stenosis Co-Existing with Ipsilateral Intracranial Stenosis: A Case Report and Literature Review

机译:颈动脉分叉狭窄与同侧颅内狭窄的颈动脉分叉狭窄的T-配置支架放置:案例报告和文献综述

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摘要

In patients with carotid bifurcation stenosis co-existing with ipsilateral intracranial artery stenosis, combined treatment with carotid artery stenting (CAS)/carotid endarterectomy (CEA) and extracranial-to- intracranial (EC-IC) bypass can be a useful option to prevent future ischemic stroke events. EC-IC bypass requires a sufficient antegrade flow in the ipsilateral external carotid artery. However, standard CAS/CEA occasionally lead to external carotid artery occlusion. Herein, we present a case of successful one-stage endovascular revascularization of both the antegrade internal and external carotid artery flow using the carotid T-stent technique for carotid bifurcation stenosis co-existing with ipsilateral middle cerebral artery stenosis.
机译:对于颈动脉分叉狭窄合并同侧颅内动脉狭窄的患者,颈动脉支架置入术(CAS)/颈动脉内膜切除术(CEA)和颅外-颅内(EC-IC)旁路术联合治疗可能是预防未来缺血性卒中事件的有用选择。EC-IC旁路术要求同侧颈外动脉有足够的顺行血流。然而,标准CAS/CEA偶尔会导致颈外动脉闭塞。在此,我们报告了一例成功的一期血管内血运重建术,使用颈动脉T型支架技术治疗颈动脉分叉狭窄合并同侧大脑中动脉狭窄的顺行颈内动脉和颈外动脉。

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