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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.1
- 수록면
- 190 - 193 (4page)
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Mechanical thrombectomy (MT) is an effective treatment in patients with acute ischemic stroke (AIS) due to emergent large-vessel occlusion in the anterior circulation. Occlusion of the anterior cerebral artery (ACA) affects up to 15% of these patients. Here we report a case of an elderly patient with an successful MT of an embolic A2-segment occlussion with the anatomic variation of a triplication. Triplication of ACA is a rare anatomical variation, and the occlusion could have been easily overlooked in case of not performing the CT-perfusion (CTP) sequences. As anatomical variations of the circle of Willis are present in most subjects, CTA alone might be limited in the acute setting, particularly for young residents performing the first view on call. This case highlights the importance of including CTP in the initial CT-diagnostic algorithm in AIS patients who are basically eligible for recanalization therapies, irrespective of inconspicuous initial findings in CTA.
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참고문헌 (19)
참고문헌 신청
Tsivgoulis G / 2016 / Endovascular reperfusion therapies for acute ischemic stroke : dissecting the evidence / Expert Rev Neurother 16:527~534
Pfaff J / 2016 / Mechanical thrombectomy of distal occlusions in the anterior cerebral artery : recanalization rates, periprocedural complications, and clinical outcome / AJNR Am J Neuroradiol 37:673~678
Trepel M / 2011 / Neuroanatomie: struktur und funktion / Urban & Fischer
Kang SY / 2008 / Anterior cerebral artery infarction : stroke mechanism and clinical-imaging study in 100 patients / Neurology 70(24 Pt 2):2386~2393
Fawcett E / 1905 / The circle of Willis : an examination of 700 specimens / J Anat Physiol 40(Pt 1):63~70
Pfaff J / 2016 / Mechanical thrombectomy of distal occlusions in the anterior cerebral artery : recanalization rates, periprocedural complications, and clinical outcome / AJNR Am J Neuroradiol 37:673~678
Trepel M / 2011 / Neuroanatomie: struktur und funktion / Urban & Fischer
Kang SY / 2008 / Anterior cerebral artery infarction : stroke mechanism and clinical-imaging study in 100 patients / Neurology 70(24 Pt 2):2386~2393
Fawcett E / 1905 / The circle of Willis : an examination of 700 specimens / J Anat Physiol 40(Pt 1):63~70
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