Transcarotid Endovascular Thrombectomy for Acute Ischemic Stroke

被引：15
|
作者：
Fjetland, Lars [1 ]
Roy, Sumit [1 ]
机构：
[1] Stavanger Univ Hosp, Dept Radiol, Postboks 8100, N-4068 Stavanger, Norway
来源：
JOURNAL OF VASCULAR AND INTERVENTIONAL RADIOLOGY | 2018年 / 29卷 / 07期
关键词：
DIRECT CAROTID PUNCTURE; ANTERIOR CIRCULATION; MECHANICAL THROMBECTOMY; TRANSCERVICAL ACCESS; TECHNICAL ASPECTS; DEVICE;
D O I：
10.1016/j.jvir.2018.03.012
中图分类号：
R8 [特种医学]; R445 [影像诊断学];
学科分类号：
1002 ; 100207 ; 1009 ;
摘要：
Endovascular thrombectomy (EVT) via a transfemoral approach can be extremely time-consuming or even impossible. This brief review presents 7 transcarotid EVT procedures in which reperfusion graded as 2b or 3 on the Thrombolysis In Cerebral Infarction scale was achieved. Neck hematoma in need of treatment occurred in 1 patient. Two patients died. In the remaining patients, clinical outcome was graded as a modified Rankin scale score of 3 or less. The results suggest that transcarotid access may be a realistic option for EVT when transfemoral catheterization of the internal carotid artery is not feasible.
引用
收藏
页码：1006 / 1010
页数：5
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