Drug-coated balloon angioplasty for the treatment of intracranial arterial stenosis in a young stroke patient:A case report  

作　　者：Peng-Cheng Zhu Ling-Feng Shu Qing-Hai Dai Hong-Tu Tan Jia-Bin Wang Tao Wu 

机构地区：[1]Department of Intervention,Encephalopathy Center,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,Henan Province,China [2]The First Clinical Medical College,Henan University of Traditional Chinese Medicine,Zhengzhou 450046,Henan Province,China

出　　处：《World Journal of Clinical Cases》2024年第19期3956-3960,共5页世界临床病例杂志

摘　　要：BACKGROUND Intracranial arterial narrowing is a significant factor leading to brief episodes of reduced blood flow to the brain,known as transient ischemic attacks,or fullblown strokes.While atherosclerosis is commonly associated with intracranial arterial narrowing,it is frequently of a non-atherosclerotic nature in younger patients.CASE SUMMARY Here,we present the case of a young stroke patient with narrowing of the middle cerebral artery(MCA),characterized as non-atherosclerotic lesions,who experienced an ischemic stroke despite receiving standard drug therapy.The patient underwent digital subtraction angiography(DSA)to assess the entire network of blood vessels in the brain,revealing significant narrowing(approximately 80%)in the M1 segment of the right MCA.Subsequently,the patient underwent Drug-Coated Balloon Angioplasty to treat the stenosis in the right MCA's M1 segment.Follow-up DSA confirmed the resolution of stenosis in this segment.Although the remaining branches showed satisfactory blood flow,the vessel wall exhibited irregularities.A review of DSA conducted six months later showed no evident stenosis in the right MCA,with a smooth vessel wall.CONCLUSION The use of drug-coated balloon angioplasty demonstrated favorable outcomes in repairing and reshaping the blood vessel wall in young patients.Therefore,it may be considered a promising treatment option for similar cases.

关 键 词：Intracranial arterial stenosis Middle cerebral artery Drug-coated balloon Young stroke Case report 

分 类 号：R541.4[医药卫生—心血管疾病]