颈总动脉闭塞血管内开通治疗

Recanalization of Occlude Common Carotid Artery

病例摘要 患者，男，76岁，因“右侧无力2月”人院。患者于2012年9月8日无明显诱因出现右侧肢体麻木、无力，至当地医院就诊，磁共振成像（magnetic resonance imaging，MRI）提示“脑内多发腔梗，左侧顶叶新鲜梗塞”，予以抗血小板聚集，降脂，控制血压等对症支持治疗，病情平稳后，为进一步诊疗人我院，入院查体：

Recanalization of the internal carotid artery has been reported by various authors. However, recanalizaiton of chronically occluded common carotid artery is seldom reported. In this article, the authors reported a 76-year-old man with left common carotid artery occlusion presenting with right limbs weakness caused by fresh infarction in left parietal lobe, which was demonstrated by magnetic resonance imaging （MRI）. CT perfusion showed hypoperfusion in left hemisphere, and digital subtraction angiography （DSA） demonstrated occlusion of left common carotid artery （CCA） and right vertebral artery, and severe stenosis at left vertebral artery origin. The patient underwent recanalization of left CCA via endovascular approach successfuly. Post-operative CT perfusion showed perfusion of left hemisphere was significantly improved. The authors reported the procedure in detail, and discussed the treatment strategy.