Extracorporeal membrane oxygenation states basilar artery thrombectomy and left posterior cerebral artery stent thrombectomy:A case report  

作　　者：Li-Shan Ding Hao Liang Ming Zheng Meng Shen Zhao-Jun Li Rui-Peng Song Qing-Liang Chen 

机构地区：[1]Department of Radioactive Intervention,Henan University of Traditional Chinese Medicine,Zhengzhou 450099,Henan Province,China [2]Department of Radioactive Intervention,Henan No.3 Provincial People’s Hospital,Zhengzhou 450006,Henan Province,China [3]Department of Endocrinology,Henan No.3 Provincial People’s Hospital,Zhengzhou 450000,Henan Province,China

出　　处：《World Journal of Clinical Cases》2024年第18期3589-3595,共7页世界临床病例杂志

基　　金：Supported by Joint Projects of the Medical Science and Technology Research Program of Henan Province,No.LHGJ20210255.

摘　　要：BACKGROUND Extracorporeal membrane oxygenation(ECMO)is a new type of extracorporeal respiratory and circulatory assistance device.It can drain venous blood out of the body and inject it into veins or arteries after being oxygenated by an oxygenator(membrane lung)to replace lung and heart functions in a short time.ECMO can provide tissue blood perfusion and gas exchange almost equivalent to cardiac output and extend the effective treatment time window for patients with acute circulatory failure to restore cardiopulmonary function.CASE SUMMARY We report a case of an 81-year-old woman who underwent whole cerebral angiography,basilar artery thrombectomy and stent thrombectomy in the posterior artery of the left brain after implantation of ECMO.The patient was admitted to the hospital due to myocardial infarction.Considering that the cause of the patient’s disturbance of consciousness was unknown and cerebrovascular accident could not be ruled out after the implantation of ECMO,the department of Radioactive Intervention performed cerebral angiography.And the result of the angiography indicated vascular occlusion.After the basilar artery thrombectomy and stent thrombectomy in the posterior artery of the left brain,the patency of the occlusive vessel was achieved.CONCLUSION Although the patient eventually died of circulatory failure,the result of this case verifies the feasibility of cerebral angiography and thrombectomy in patients with implanted ECMO in the intubated state.

关 键 词：Extracorporeal membrane oxygenation Blood circulation failure Nerve intervention Stent thrombectomy Case report 

分 类 号：R651.12[医药卫生—外科学]