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Posterior Circulation Mechanical Thrombectomy through Primitive Trigeminal Artery: A Case Report.
Gao, Xiaoshan; Wang, Tianhong; Chen, Jun; Chen, Jiangjun; Wang, Ying; Yang, Kui; Gu, Youquan; Yao, Lihe.
Afiliación
  • Gao X; The First School of Clinical Medical of Lanzhou University, Lanzhou, China.
  • Wang T; Department of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
  • Chen J; Department of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
  • Chen J; Department of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
  • Wang Y; Department of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
  • Yang K; Department of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
  • Gu Y; Department of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
  • Yao L; Department of Neurology, The First Hospital of Lanzhou University, Lanzhou, China.
Case Rep Neurol ; 16(1): 28-35, 2024.
Article en En | MEDLINE | ID: mdl-38298245
ABSTRACT

Introduction:

Primitive trigeminal artery (PTA) is a rare intracranial vascular malformation, and mechanical thrombectomy and revascularization via PTA are rarely reported. Case Presentation We reported a case of mechanical thrombectomy through PTA in a patient who presented with sudden slurred speech and had a National Institutes of Health Stroke Scale score of 12. Digital subtraction angiography of the cerebral vasculature showed PTA formation in the right internal carotid artery cavernous segment, with acute occlusion of the distal basilar artery at the PTA junction, and bilateral vertebral arteries and proximal basilar artery were underdeveloped. Therefore, we chose mechanical thrombectomy via PTA, but unfortunately, the vessel failed to recanalize. Follow-up at 1-month post-procedure indicated that the patient had passed away. We present the endovascular process and analyze and summarize the reasons for the failure to provide a reference for subsequent mechanical thrombectomy via PTA.

Conclusions:

PTA increases the risk of ischemic stroke and adds to the complexity of mechanical thrombectomy post-stroke. However, in certain situations, PTA can be used as a thrombectomy channel to increase the first-line possibility of timely endovascular treatment to save ischemic brain tissue.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Neurol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Case Rep Neurol Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Suiza