Preliminary exploration of endovascular treatment for cerebral infarction caused by middle cerebral artery stenosis with hypoperfusion in the blood supply area of the lenticulostriate artery
10.3760/cma.j.cn113694-20230227-00130
- VernacularTitle:大脑中动脉狭窄所致豆纹动脉供血区低灌注性脑梗死介入治疗的初步探索
- Author:
Ziyao WANG
1
;
Sen WEI
;
Xiaojie FU
;
Chao LIU
;
Limin LEI
;
Yongjie YUAN
;
Haowen XU
;
Xinbin GUO
;
Sheng GUAN
Author Information
1. 郑州大学第一附属医院神经介入科 河南省神经介入工程研究中心，郑州450052
- Keywords:
Intracranial arterial diseases;
Atherosclerosis;
Cerebral infarction;
Endovascular procedures;
Magnetic resonance imaging;
Angiography, digital subtraction
- From:
Chinese Journal of Neurology
2023;56(5):513-520
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the necessity, safety and efficacy of endovascular treatment for cerebral infarction caused by middle cerebral artery (MCA) stenosis with hypoperfusion in the blood supply area of the lenticulostriate artery.Methods:The clinical and surgical data of patients with MCA atherosclerotic disease who underwent endovascular treatment in the First Affiliated Hospital of Zhengzhou University from January 2014 to October 2021 were retrospectively analyzed. A total of 6 patients with cerebral infarction caused by MCA stenosis with hypoperfusion in the blood supply area of the lenticulostriate artery were selected. The preoperative and postoperative clinical imaging characteristics, perioperative complications and follow-up of these 6 patients were summarized and evaluated.Results:After the endovascular treatment, the imaging of the lenticulostriate artery in all the 6 patients was clearer than that before the operation, and the number of main trunks of the lenticulostriate artery shown by imaging in 2 patients was more than that before operation. The computer tomography perfusion of 6 patients after the endovascular treatment showed that perfusion in the supply area of the lenticulostriate artery was significantly improved compared with pre-operation. No stroke, transient ischemic attack (TIA) and death occurred during the perioperative period. The time of clinical follow-up was 360 (322, 495) days, and there were no stroke, TIA or death occurring in the corresponding artery. All the 6 patients underwent imaging follow-up, of which 3 patients underwent digital subtraction angiography and 3 underwent CT angiography. The lumen of the target vessels showed patency in all patients.Conclusions:With rigorous imaging evaluation, endovascular treatment may be safe and effective for cerebral infarction caused by MCA stenosis with hypoperfusion in the blood supply area of the lenticulostriate artery.
