Recently, the First Ward of the Department of Neurology of Shaanxi Provincial Nuclear Industry 215 Hospital performed basal artery balloon dilation + stenting recandulation for a patient with acute cerebral infarction with basal artery occlusion, and the operation was smooth and the patient was discharged from the hospital.
Mr. Yan, 51, has a history of repeated dizziness and was diagnosed with basal artery stenosis in the outer hospital a year ago, and the patient did not care and did not take medication regularly. Before January, the patient suddenly appeared dizzy, slurred speech, accompanied by limited movement of the left limb, unable to stand and walk, the local hospital performed a head CT to suggest a slightly low density occipital lobe on the left side, and then urgently contacted the 215 Hospital, and the physician of the first ward of the Department of Neurology was clearly diagnosed with basal artery tip syndrome caused by basal artery occlusion after examination and examination.
Basilar artery tip syndrome is a more special type of posterior circulating cerebral infarction, acute onset, severe disease, rapid development, difficult treatment, disability rate and high mortality rate, although the patient has missed the best intravascular treatment time window (within 6 hours after the onset of illness), but considering that the patient is only more than 50 years old, when admitted to the hospital brainstem, cerebellum, temporal lobe, occipital lobe has occurred cerebral infarction, mild drowsiness, intracranial vascular basilar artery is almost occluded, the situation is very serious, if the blood vessel is not opened in time, with the development of the disease, At any time, there may be unconsciousness, and even respiratory and cardiac arrest endanger the life of patients, and the mortality and disability rate are high. Wang Jianfeng, director of the first ward of the Department of Neurology of 215 Hospital, led the interventional treatment team of the department to make a decision on the spot, communicate with the patient's family in a timely manner, and obtain the consent of the family to perform basal artery vascular recanection in the emergency department. After the operation, the blood vessels were smoothly re-connected, the postoperative blood vessels were in good shape, and the patient has been discharged from the hospital. The successful treatment of this patient once again demonstrated the superb technology and strength of the First Ward of the Department of Neurology of 215 Hospital in the diagnosis and treatment of cerebrovascular diseases.
Intraoperative transvertebral angiography may reveal subtotal occlusion of the basal artery
Postoperative contrast shows successful re-passage of basal artery blood flow
Re-examination of the head's NUCLEAR magnetic vascular imaging 2 weeks postoperatively shows that the circulating vascular re-passage is good
Recovery of the patient 2 weeks after surgery
As one of the early hospitals in Xianyang to carry out neurointerventional technology, the neurological interventional surgeries available in 215 Hospital include: whole cerebral angiography, transsurfacial artery puncture whole cerebral angiography, acute cerebral infarction emergency thrombolysis, acute cerebral infarction artery thrombolysis, intracranial aneurysm embolization, intracranial and extracranial arterial stenosis stenting.
Source: Shaanxi Provincial Nuclear Industry 215 Hospital
Edit: CH