Effects of multi-mode revascularization combined with hyperbaric oxygen in the treatment of acute internal carotid artery occlusion
10.3760/cma.j.issn.1009-6906.2017.05.013
- VernacularTitle:多模式血管再通术联合高压氧治疗急性颈内动脉末端闭塞疗效观察
- Author:
Dongzhang XUE
1
;
Bensong YU
1
;
Shuiping WANG
1
;
Shiquan YANG
1
;
Yiqun WANG
1
;
Jia CHEN
1
;
Jincheng CHENG
1
Author Information
1. 解放军第一二三医院高压氧神经内科, 安徽省蚌埠,233000
- Publication Type:Journal Article
- Keywords:
Arterial embolization;
Multi-mode;
Endovascular intervention treatment;
Hyperbaric oxygen
- From:
Chinese journal of nautical medicine and hyperbaric medicine
2017;24(5):390-393
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of multi-mode revascularization combined with hyperbaric oxygen (HBO) in the treatment of acute internal carotid artery occlusion.Methods One mid-aged female patient was admitted into hospital 1 hour after sudden onset of unconsciousness.Past medical history included rheumatic heart disease and atrial fibrillation.Digital subtraction angiography (DSA) showed occlusion at the distal end of internal carotid artery.With the knowledge and consent of the dependants,endovascular intervention treatment was performed and HBO therapy was supplemented after surgery.Results Due to the location,size and complexity of shapes of thrombi,re-canalization was not successful after trying in sequence stent thrombectomy,balloon catheter disruption of thrombi and contact arterial thrombolysis.Finally,the occluded vessel was re-canalized successfully by the catheter aspiration technique,and the prognosis of the patient improved significantly.Conclusions This case suggests that the combined use of multi-mode endovascular interventional technology is an effective method for re-canalizing occluded vessels.Supplemented HBO therapy after surgery is beneficial to the improvement of prognosis.
