تقرير
Cross-circulation thrombectomy for acute middle cerebral artery occlusion through a posterior communicating artery: a case report.
| العنوان: | Cross-circulation thrombectomy for acute middle cerebral artery occlusion through a posterior communicating artery: a case report. |
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| المؤلفون: | Linh DH; Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Cuong TC; Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Giang NL; Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Thang LM; Digital Subtraction Angiography Unit, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Duc NM; Department of Radiology, Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam. |
| المصدر: | AME case reports [AME Case Rep] 2023 Jun 06; Vol. 7, pp. 27. Date of Electronic Publication: 2023 Jun 06 (Print Publication: 2023). |
| نوع المنشور: | Case Reports |
| اللغة: | English |
| بيانات الدورية: | Publisher: AME Publishing Company Country of Publication: China NLM ID: 101730832 Publication Model: eCollection Cited Medium: Internet ISSN: 2523-1995 (Electronic) Linking ISSN: 25231995 NLM ISO Abbreviation: AME Case Rep Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: Hong Kong : AME Publishing Company, [2017]- |
| مستخلص: | Background: Two concurrent instances of acute large vessel occlusion identified in two circulation systems is rare and associated with poor clinical outcomes. The complex vascular anatomy and chronic lesions involving extracranial or intracranial vessels may make classical anterograde approaches through parent vessels quite challenging. Besides, the effective treatment is required complicated and risky endovascular techniques. The cross-circulation approach, which consists of primary catheterization of the target artery from the contralateral side or the opposite cerebral circulation system, provides an alternative endovascular route when anterograde intervention is not feasible. This approach helps to save time, enhance the efficiency, and improve the clinical prognosis of the patient. However, cross-circulation approaches are also associated with potential risks, such as long procedure times (puncture to recanalization), hemorrhagic complications, and thromboembolic events in unaffected arterial territories. We report the rare clinical case resolved by applying a posterior-to-anterior mechanical thrombectomy technique with intermediate catheter assistance. Case Description: A 67-year-old woman presented with basilar artery and right middle cerebral artery occlusion and underwent simultaneous mechanical thrombectomy of both occluded intracranial arteries. Antegrade access to the right middle cerebral artery thrombus was prevented by the discovery of a chronic occlusion in the right carotid artery. Cross-circulation thrombectomy via the right posterior communicating artery was performed successfully. Conclusions: Our findings indicate that cross-circulation stroke treatment may be beneficial in cases with chronic occlusion or complex vascular anatomies. Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://acr.amegroups.com/article/view/10.21037/acr-22-80/coif). The authors have no conflicts of interest to declare. (2023 AME Case Reports. All rights reserved.) |
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| فهرسة مساهمة: | Keywords: Cross-circulation thrombectomy; case report; middle cerebral artery (MCA); occlusion |
| تواريخ الأحداث: | Date Created: 20230726 Latest Revision: 20230727 |
| رمز التحديث: | 20240628 |
| مُعرف محوري في PubMed: | PMC10364005 |
| DOI: | 10.21037/acr-22-80 |
| PMID: | 37492788 |
| قاعدة البيانات: | MEDLINE |
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