Reversible change of early venous filling after emergency endovascular therapy: a case report
10.3760/cma.j.issn.1006-7876.2020.02.007
- VernacularTitle: 急诊血管内治疗术后静脉充盈早现现象可逆性变化一例
- Author:
Hanfeng CHEN
1
;
Ziqi XU
Author Information
1. Department of Neurology, the First Affiliated Hospital of Zhejiang University, Hangzhou 310003, China
- Publication Type:Case Reports
- Keywords:
Stroke;
Thrombectomy;
Cerebral angiography
- From:
Chinese Journal of Neurology
2020;53(2):115-118
- CountryChina
- Language:Chinese
-
Abstract:
Early venous filling is a special imaging manifestation of cerebral angiography in patients with acute ischemic stroke. Endovascular therapy for acute ischemic stroke has been carried outwidely. However, reports involving disappearance of early venous filling and then confirming its reversibility during follow-up angiographic review are somewhat scarce. Here a case in which the early venous filling after emergency thrombectomy disappeared during follow-up examination is reported. A 71-year-old male was admitted with sudden onset of left-sided weakness for 42 minutes. Intravenous thrombolysis and bridging middle cerebral artery mechanical thrombectomy were performed. Early filling of the thalamostriate vein was visible in the digital subtraction angiography series immediately after recanalization and follow-up imaging revealed infarction of the basal ganglia. Follow up angiography showed that the phenomenon of early venous filling disappeared two weeks later.
