急诊血管内治疗CTA阴性大血管闭塞性急性脑梗死1例报告

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Abstract Emergency endovascular treatment is the preferred treatment for severe acute cerebral infarction with large vessel occlusion due to ultra venous thrombolytic time window. The preconditions for emergency endovascular treatment are preoperative confirmation of the presence of pathogenic large vessel occlusion and salvage ischemic penumbra. CT angiography (CTA) and magnetic resonance angiography (MRA) are commonly used preoperative vascular examination methods, which can show occlusion or stenosis at the proximal end of the large intracranial vessels, but have some limitations in the distal segment or branch. This paper report a case of CTA negative acute cerebral infarction with large vessel occlusion who received emergency endovascular treatment in the Department of Neurology, Yongchuan Hospital of Chongqing Medical University in 2019. Through the diagnosis and treatment process, probes into the definition of lange vascular occlusive cerebral infarction, CTA and conventional two-dimensional digital subtraction angiography (2D-DSA) in the diagnosis of the limitation of the middle cerebral artery occlusion of the M2, clinical manifestation and CT perfusion imaging (CTPI) to identify the significance of the arge vessels occlusion and three-dimensional digital subtraction angiography (3D-DSA) application in the diagnosis and treatment of middle cerebral artery occlusion of the M2 value, to improve the diagnosis and treatment of M2 segment occlusive acute cerebral infarction.

Key words： Large vessel occlusion Cerebral infarction CT perfusion imaging Endovascular treatment

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	LIU Shudong LI Wenyan▲

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LIU Shudong LI Wenyan▲. A case of emergency endovascular treatment of CTA negative large vessel occlusion acute cerebral infarction[J]. 中国医药导报, 2021, 18(6): 177-180.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2021/V18/I6/177

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