急性颈内动脉颅内段闭塞合并大脑中动脉变异血管内治疗一例并文献复习

Endovascular treatment of acute intracranial occlusion of internal carotid artery with variation of middle cerebral artery:a case report and literature review

急性颈内动脉末端闭塞的大负荷量栓塞临床较为常见,但合并副大脑中动脉较为少见,其通过单支架取栓达到快速血管再通难度较大。作者报道1例急性颈内动脉颅内段闭塞合并副大脑中动脉变异的取栓病例,并通过PubMed数据库检索相关文献,对存在大脑中动脉变异的急性缺血性卒中病例进行分析,总结临床表现特点、病变部位、发病机制、治疗及转归等,以期提高临床医师对该类病变的认识,并建议合并大脑中动脉变异的颈内动脉末端闭塞可尝试行双支架取栓。

Large load embolism with acute terminal occlusion of internal carotid artery is common.Acute terminal occlusion of internal carotid artery with variation of middle cerebral artery is rare,and it is often difficult for single stent-retriever thrombectomy to achieve rapid vascular recanalization.The authors reported a case of acute intracranial occlusion of internal carotid artery with the accessory middle cerebral artery.Also,PubMed was searched for relevant literatures to analyze the cases of acute ischemic stroke with variation of middle cerebral artery.The clinical features,lesion location,pathogenesis,treatment and prognosis were summarized,aiming to improve clinicians′understanding of this kind of disease.It is suggested that double stent-retriever thrombectomy could be used in cases of terminal occlusion of internal carotid artery combined with variation of middle cerebral artery.