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논문KCI 등재

자발중대뇌동맥박리에 의한 급성 뇌경색에서 성공적인 스텐트혈전제거술

Successful Intra-arterial Stent Thrombectomy in Acute Infarction Caused by Spontaneous Middle Cerebral Artery Dissection

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주제분류신경과학

초록

Spontaneous dissection of the middle cerebral artery could result in thromboembolic stroke caused by the intramural hematoma. Dissection should be considered as a possible etiology in a young stroke patient, but it is not straightforward in an emergency situation. Moreover, the efficacy and safety of thrombolytic treatment in the acute stage are unknown. We applied intravenous and intra-arterial stent thrombectomy with the Solitaire device successfully in a patient with acute left middle cerebral artery occlusion due to spontaneous dissection.

Abstract

Spontaneous dissection of the middle cerebral artery could result in thromboembolic stroke caused by the intramural hematoma. Dissection should be considered as a possible etiology in a young stroke patient, but it is not straightforward in an emergency situation. Moreover, the efficacy and safety of thrombolytic treatment in the acute stage are unknown. We applied intravenous and intra-arterial stent thrombectomy with the Solitaire device successfully in a patient with acute left middle cerebral artery occlusion due to spontaneous dissection.

참고문헌 (10)

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  2. Lai YJ, "Endovascular therapy in pediatric intracranial carotid artery dissection", Pediatr Neurol, 42, pp.291~294 (2010)
  3. Fujimoto M, "Direct thrombus aspiration using the Penumbra system for the treatment of pediatric intracranial dissection", J Neurointerv Surg, 5, pp.e43~ (2013)
  4. Georgiadis D, "IV thrombolysis in patients with acute stroke due to spontaneous carotid dissection", Neurology, 64, pp.1612~1614 (2005)
  5. Zinkstok SM, "Safety and functional outcome of thrombolysis in dissection-related ischemic stroke: a meta-analysis of individual patient data", Stroke, 42, pp.2515~2520 (2011)
  6. Debette S, "Epidemiology, pathophysiology, diagnosis, and management of intracranial artery dissection", Lancet Neurol, 14, pp.640~654 (2015)
  7. Lee JS, "Two cases of spontaneous middle cerebral arterial dissection causing ischemic stroke", J Neurol Sci, 250, pp.162~166 (2006)
  8. Yin NS, "Autopsy findings after intracranial thrombectomy for acute ischemic stroke: a clinicopathologic study of 5 patients", Stroke, 41, pp.938~947 (2010)
  9. Yoon W, "Subarachnoid hemorrhage in a multimodal approach heavily weighted toward mechanical thrombectomy with solitaire stent in acute stroke", Stroke, 44, pp.414~419 (2013)
  10. Binning MJ, "Stent placement for the treatment of a symptomatic intracranial arterial dissection in an adolescent", J Neurosurg Pediatr, 6, pp.154~158 (2010)

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