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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 137 - 141 (5page)
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초록· 키워드
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Distal intracranial occlusions can sometimes cause significant neurological deficits. Endovascular thrombectomy in these vessels may improve outcome but carry a higher risk of haemorrhagic complications due to the small calibre and tortuosity of the target vessel. We report two cases of isolated M2/3 artery occlusion causing dense hemiplegia that was successfully treated with stent retrieval thrombectomy. A “semi-deployment technique” of a 3 mm stentriever was employed at the M2/3 bifurcation of the middle cerebral artery. Partial stent unsheathing allowed adequate clot engagement while avoiding excessive tension by the stent metal struts along the tortuous course of a distal vessel. Complete revascularization was achieved after first-pass of the stent retriever without complication, resulting in good clinical outcome in both cases. The described semi-deployment technique reduces the radial and tractional force exerted by the stentreiver on small branches, and may reduce the risk of vessel laceration or dissection in distal vessel thrombectomy.
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등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Powers WJ / 2018 / 2018 guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association / Stroke 49:e46~e110
Saber H / 2018 / Mechanical thrombectomy for acute ischemic stroke with occlusion of the M2 segment of the middle cerebral artery: a meta-analysis / J Neurointerv Surg 10:620~624
Tan IY / 2009 / CT angiography clot burden score and collateral score:correlation with clinical and radiologic outcomes in acute middle cerebral artery infarct / AJNR Am J Neuroradiol 30:525~531
Fanous AA / 2016 / Mechanical thrombectomy: stent retrievers vs. aspiration catheters / Cor et Vasa 58:e193~e203
Haussen DC / 2016 / The Trevo XP 3x20 mm retriever (‘Baby Trevo’) for the treatment of distal intracranial occlusions / J Neurointerv Surg 8:295~299
Saber H / 2018 / Mechanical thrombectomy for acute ischemic stroke with occlusion of the M2 segment of the middle cerebral artery: a meta-analysis / J Neurointerv Surg 10:620~624
Tan IY / 2009 / CT angiography clot burden score and collateral score:correlation with clinical and radiologic outcomes in acute middle cerebral artery infarct / AJNR Am J Neuroradiol 30:525~531
Fanous AA / 2016 / Mechanical thrombectomy: stent retrievers vs. aspiration catheters / Cor et Vasa 58:e193~e203
Haussen DC / 2016 / The Trevo XP 3x20 mm retriever (‘Baby Trevo’) for the treatment of distal intracranial occlusions / J Neurointerv Surg 8:295~299
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