A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving

OBJECTIVE: We report a case of acute cerebral infarction that may have been associated with high-energy trauma due to onset while driving. CASE PRESENTATION: A 67-year-old man had a traffic accident. His neurological symptoms were left hemiplegia and contrast CT revealed right middle cerebral artery...

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Autores principales: Oyama, Yuta, Miyamoto, Michiyuki, Onuki, Takahiro, Uno, Takeshi, Ito, Akihiro, Yamane, Fumitaka, Sakamoto, Tetsuya, Matsuno, Akira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society for Neuroendovascular Therapy 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370597/
https://www.ncbi.nlm.nih.gov/pubmed/37502175
http://dx.doi.org/10.5797/jnet.cr.2019-0090
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author Oyama, Yuta
Miyamoto, Michiyuki
Onuki, Takahiro
Uno, Takeshi
Ito, Akihiro
Yamane, Fumitaka
Sakamoto, Tetsuya
Matsuno, Akira
author_facet Oyama, Yuta
Miyamoto, Michiyuki
Onuki, Takahiro
Uno, Takeshi
Ito, Akihiro
Yamane, Fumitaka
Sakamoto, Tetsuya
Matsuno, Akira
author_sort Oyama, Yuta
collection PubMed
description OBJECTIVE: We report a case of acute cerebral infarction that may have been associated with high-energy trauma due to onset while driving. CASE PRESENTATION: A 67-year-old man had a traffic accident. His neurological symptoms were left hemiplegia and contrast CT revealed right middle cerebral artery occlusion. Intravenous thrombolysis with recombinant tissue plasminogen activator (rt-PA) and intravascular treatment were performed. Right carotid artery angiography demonstrated internal carotid artery stenosis. Middle cerebral artery (MCA) revascularization was performed only by percutaneous transluminal angioplasty (PTA) of the internal carotid artery. Thoracic hemorrhage was observed a few hours after surgery, and hemostasis was performed by thoracotomy. Carotid artery stenting (CAS) was performed 8 days after onset. The patient was transferred to a convalescent rehabilitation hospital. CONCLUSION: Rt-PA and acute CAS were not recommended for cerebral infarction due to traffic accident.
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spelling pubmed-103705972023-07-27 A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving Oyama, Yuta Miyamoto, Michiyuki Onuki, Takahiro Uno, Takeshi Ito, Akihiro Yamane, Fumitaka Sakamoto, Tetsuya Matsuno, Akira J Neuroendovasc Ther Case Report OBJECTIVE: We report a case of acute cerebral infarction that may have been associated with high-energy trauma due to onset while driving. CASE PRESENTATION: A 67-year-old man had a traffic accident. His neurological symptoms were left hemiplegia and contrast CT revealed right middle cerebral artery occlusion. Intravenous thrombolysis with recombinant tissue plasminogen activator (rt-PA) and intravascular treatment were performed. Right carotid artery angiography demonstrated internal carotid artery stenosis. Middle cerebral artery (MCA) revascularization was performed only by percutaneous transluminal angioplasty (PTA) of the internal carotid artery. Thoracic hemorrhage was observed a few hours after surgery, and hemostasis was performed by thoracotomy. Carotid artery stenting (CAS) was performed 8 days after onset. The patient was transferred to a convalescent rehabilitation hospital. CONCLUSION: Rt-PA and acute CAS were not recommended for cerebral infarction due to traffic accident. The Japanese Society for Neuroendovascular Therapy 2020-06-05 2020 /pmc/articles/PMC10370597/ /pubmed/37502175 http://dx.doi.org/10.5797/jnet.cr.2019-0090 Text en ©2020 The Japanese Society for Neuroendovascular Therapy https://creativecommons.org/licenses/by-nc-nd/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives International License (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Report
Oyama, Yuta
Miyamoto, Michiyuki
Onuki, Takahiro
Uno, Takeshi
Ito, Akihiro
Yamane, Fumitaka
Sakamoto, Tetsuya
Matsuno, Akira
A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving
title A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving
title_full A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving
title_fullStr A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving
title_full_unstemmed A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving
title_short A Case of Intravascular Treatment for Acute Ischemic Stroke with Internal Carotid Artery Stenosis That Developed While Driving
title_sort case of intravascular treatment for acute ischemic stroke with internal carotid artery stenosis that developed while driving
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10370597/
https://www.ncbi.nlm.nih.gov/pubmed/37502175
http://dx.doi.org/10.5797/jnet.cr.2019-0090
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