右肢无力个演示病例银.pdfVIP

Case16

StenosisofL-ICAandR-VAOrigins

ClinicalPresentation

•77-Yr-Old,Male

•CC:Rightlimbweaknessfor2months

•PE:Musclestrengthofrightlimb:gradeIV

•PH:Hypertension

•Operator:ZhaoWenyuan,YangZhigang

CT2015-8-10

CTA2015-8-10

RightinternalcarotidarteryLeftinternalcarotidartery

CTA2015-8-10

RightvertebralarteryLeftvertebralartery

CTA2015-8-10

CTP2015-8-10

LR

TTP19.4s16.2s

MTT5.1s4.6s

rCBV3.52.7

rCBF41.434.7

MRI2015-9-8

MRI2015-10-28

MRI2015-10-28

MRI2015-10-28

Strategy

•Stentangiosty(stagedprocedure?)

•Equipment:

–8FENVOYguidingcatheter(Cordis,USA)

–EmboshieldNV65.0Filter（Abbot，USA）

–Submarine/AviatorBalloon（size？）

–Acculink6-8/40Stent（Abbot，USA）

–ProglideClosureSystem（Abbot，USA）

77岁，

CC：右肢无力2个月

PE：右肢肌力：IV级

PH：高血压操作员：右颈内动脉左颈内动脉右侧椎动脉左侧椎动脉