Transoral carotid ultrasonography using a micro convex probe with B-flow imaging for extracranial internal carotid artery dissection
Transoral carotid ultrasonography using a micro convex probe with B-flow imaging for extracranial internal carotid artery dissection
复制标题
使用微型凸探头和 B 流成像的经口颈动脉超声检查用于颅外颈内动脉夹层
DOI：
10.1016/j.jstrokecerebrovasdis.2011.12.005
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
Ohya Y
中科院分区：
文献类型：
--
作者：
Sakima H;Isa K;Anegawa T;Kokuba K;Nakachi K;Goya Y;Tokashiki T;Ishiuchi S;Ohya Y
我们报告经口颈动脉超声检查使用微凸探头与B流成像确定自发性颅外颈内动脉夹层下方岩部。一位49岁男性在右侧大脑中动脉区域发生皮质和皮质下梗死。入院第三天的磁共振血管造影显示右侧颈内动脉自发再通，与岩部内膜瓣样结构相关。使用微凸探头进行的经口颈动脉超声检查显示右侧颅外颈内动脉夹层，显示右侧颅外颈内动脉直径增加伴双腔形成、真腔狭窄和B流成像中的移动的内膜瓣。使用微凸探头的经口颈动脉超声检查有助于尝试自膨式支架再通右侧颅外颈内动脉夹层。患者痊愈并出院。微凸探头的尺寸是最佳的经口颈动脉超声在我们的病人。微凸探头比标准经口颈动脉超声探头更常用，缺乏通用性。我们认为使用微凸探头经口颈动脉超声检查可以常规用于颅外颈内动脉夹层的超声评价。
We report on transoral carotid ultrasonography using a micro convex probe with B-flow imaging for determining spontaneous extracranial internal carotid artery dissection just below the petrous portion. A 49-year-old man suffered cortical and subcortical infarction in the region of the right middle cerebral artery. Magnetic resonance angiography on the third day of admission revealed spontaneous recanalization of the right internal carotid artery associated with an intimal flap–like structure at the petrous portion. Transoral carotid ultrasonography using a micro convex probe revealed right extracranial internal carotid artery dissection, showing an increased diameter of the right extracranial internal carotid artery with double lumen formation, stenosis of the true lumen, and a mobile intimal flap in B-flow imaging. Transoral carotid ultrasonography using a micro convex probe was helpful to attempt a self-expanding stent for recanalizing right extracranial internal carotid artery dissection. The patient recovered and was discharged ambulatory. The size of the micro convex probe was optimum for transoral carotid ultrasonography in our patient. Micro convex probe is more commonly used than the standard transoral carotid ultrasonography probe, which lacks versatility. We consider that transoral carotid ultrasonography using a micro convex probe could be routinely used for ultrasonographic evaluation of extracranial internal carotid artery dissection.