A Rescue Therapy for Vascular Reocclusion after Carotid Artery Stenting for Acute Carotid Artery Occlusion—Femoral-Carotid Artery Bypass
The key to the treatment of acute ischemic stroke is to quickly restore the blood flow of ischemic brain tissue,intravenous thrombolysis therapy can be given in the time window,and bridging endovascular interventional therapy if the effect is not good.Stent implantation is an effective remedy when conventional methods such as stent thrombectomy,aspiration thrombectomy and balloon dilatation fail to open the vessel.However,in some cases,vascular reocclusion may occur after stent implantation.If the occlusive vessel can not be revascularization quickly,the patient's outcome can only be severe disability or death.This paper reports the diagnosis and treatment of a patient with vascular reocclusion after carotid artery stenting for acute carotid artery occlusion by femoral-carotid artery bypass.Femoral-carotid artery bypass is a new and effective surgical method,which can quickly solve this unusual but very difficult situation and is worth popularizing.