抓捕器辅助下经对侧椎动脉逆向指引开通闭塞椎动脉一例  

Recanalization of occlusive vertebral artery via reverse guidance of contralateral vertebral artery assisted gooseneck snare kit

作　　者：李扬 范志荣 师瑞 李德帅 魏东 Li Yang;Fan Zhirong;Shi Rui;Li Deshuai;Wei Dong(Department of Neurology,First Affiliated Hospital of Air Force Medical Univevsity,Xi′an 710032,China)

机构地区：[1]空军军医大学第一附属医院神经内科,西安710032

出　　处：《中国脑血管病杂志》2022年第10期699-702,共4页Chinese Journal of Cerebrovascular Diseases

基　　金：国家自然科学基金青年项目(81400873);空军军医大学第一附属医院学科助推计划项目(XJZT18ML47)。

摘　　要：椎动脉起始部闭塞后后循环梗死发生率高,再通难度大、成功率低。作者报道1例抓捕器辅助下经对侧椎动脉逆向指引开通闭塞椎动脉的病例,并分析闭塞椎动脉开通的非常规路径类型及其风险、抓捕器在神经介入领域的使用范围、远端栓塞保护装置的种类及使用必要性,以供临床医师参考。Occlusion of the origin of the vertebral artery is complicated by a high rate of posterior circulation infarction,which makes recanalization difficult and has a low success rate.The authors reported a case of opening an occluded vertebral artery with the aid of a gooseneck snare kit via reverse guidance of the contralateral vertebral artery.Combined with the literature review,the authors analyzed the types of unconventional routes for opening an occluded vertebral artery and their risks,the scope of use of gooseneck snare kit in the field of vascular intervention,and the necessity and types of a distal embolic protection devices,to provide reference to clinicians.

关 键 词：椎动脉闭塞 开通 抓捕器 逆向 

分 类 号：R743.3[医药卫生—神经病学与精神病学]