A patient in Jingzhou, Hubei Jingzhou, to open the "brain lifeline"

When human blood vessels such as water pipes "scaling" and "aging", after forming plaques, the wall of the blood vessels will become thicker, hardening, the pipe diameter will become smaller, and narrowing or even occlusion will occur. Among them, there is a blood vessel, which connects the brain, which is very dangerous after the narrowing is blocked. Many people know its existence after the "small stroke" and even the awareness. It is the bridge that connects the heart and the brain -carotid artery.

Cervical occlusion is one of the main causes of ischemic stroke. It is generally believed that the occlusion time of the occlusion is more than 4 weeks. Recently, a team of experts in the 1st Medical Stroke Center in Jingzhou, Hubei, opened a "brain lifeline" for a patient with chronic cervical occlusion patients who repeatedly cerebral infarction TIA, reducing the chance of re -incidence of cerebral infarction.

Black in front of you! Blood vessels are blocked into "first -line days"

Dizziness is common, but a kind of dizziness may be the body "alarm." Uncle Sixalty was dizzy and uncomfortable. After investigation, he found that the root cause was in the carotid artery.

Uncle Zhou, who lives in Shashi District, Jingzhou City, is 62 years old. In recent years, he has lived in other places with his children. Ten years ago, he suffered from nasopharyngeal cancer. After chemotherapy, his condition was controlled. In the past 10 years, he successively found hypertension, chronic kidney disease, and appendicitis, and his body has not been good. In May 2020, Uncle Zhou repeatedly dizzy and was diagnosed with stenosis in the left neck arteries, and was restored through the treatment of internal neck arteries.

However, the good times are not long. Not long ago, Uncle Zhou suddenly became unconscious, unclear consciousness, and improved herself after tens of seconds, but started a few days later. The symptoms lasted more than 2 months, and the family members saw that Uncle Zhou's mental state became worse and worse, and his desire to seek medical treatment was even more urgent. After running through the local hospital, he was told that Uncle Zhou was completely blocked by the right carotid artery, and he could only be treated with surgery. However, patients have a long period of onset, the operation is difficult and risky.

Uncle Zhou and his family were dazed and helpless. After being introduced by a friend, he learned that the Jingzhou Medical Stroke Center had a deep accomplishment in the diagnosis and treatment of neurological diseases, so he hugged the last hope and returned to his hometown to find the Jingzhou Medical Stroke Center Center. Deputy Director Min Jie.

How can the blood supply "source" be blocked?

"The main channel for cerebral blood supply is the carotid artery system and vertebral artery system. Among them, the two sides of the cervical artery supply blood to the brain tissue, accounting for more than 80%of the blood required by the human brain. Block, blocking the blood vessels, is equivalent to turning the 'valve', causing brain ischemia, and the patient has a new hair infarction due to insufficient compensation. If it is not dealt with, it is likely that a greater new cerebral infarction will occur in the near future. "Min Jie said, therefore, it is necessary to open blood vessels.

"According to the past, the surgery needs to be completed in stages. Patients need to be treated multiple times, in the interventional room to take angiography, surgery in the operating room, and then expand the balloon. "Due to the ever -changing condition of the patient, the surgical plan must be personalized and cannot only pursue a single surgical plan."

After further evaluation of Uncle Zhou's cervical arteries, the Stroke Center immediately held MDT to convene vascular surgery, ultrasound, anesthesiology, etc. to in -depth consultation with the patient's condition, and finally decided to break through the routine. Surgery, open the internal neck arteries that have been closed, restore intracranial blood flow to maximize the patient.

The composite operating room, also known as the "hybrid operating room", is known as the "operating room aircraft carrier" because of its "tall" equipment. Here, the comprehensive application of neural image technology, intravascular intervention diagnosis and treatment technology and micro -neurosurgery technology can be combined to complete major surgery that can be completed in different operating rooms and stages. The surgery is more accurate, the patient has less trauma, the hospitalization time is shortened, and the cost is reduced.

For patients with severe critical illness, composite surgery has a natural advantage.

Min Jie said, "Simply put, it is during the same operation. At the same time, intervention and surgery are used for treatment to solve all problems at one time, which can greatly improve the success rate and surgical effect of the operation."

Multi -subject collaboration breaks through the restricted area!

Uncle Zhou's internal neck artery was closed for more than two months, and it was "strong." The treatment plan formulated by Min Jie's team is: first "right cervical endometrial exfoliation", moved away the "stone", pulled out the remote electrical endometrium; and then the neuro intervention group was opened to open the occlusion blood vessels.

It is very difficult for chronic vascular occlusion to occur in long segments. Whether it is involved in the opening, or the "composite 'therapeutic method for the combination of carotid endometriosis, all facing the situation of low vascular reinstation rate and high recovery rate There may also be complications such as cerebral embolism and cerebral edema after surgery.

The multidisciplinary collaboration of Jingzhou Yidi Stroke Center has dealt with the challenges of high difficulty and high risk

The surgery is mainly performed in the "front triangle of the neck". The blood vessel nerve is densely distributed in this area. The surgery team is required to cut the blood vessels, stripped plaques in the short period of time as possible, and protect the surrounding nerves and blood vessels. In the composite operating room, neurosurgery, intervention, and anesthesia team coordinated.

The surgery team overcome the heavy "Guanzhang". It lasted more than an hour and detailedly stripped the "timing bomb", laying the foundation for the smooth and re -connection of the intervention group.

The neuro intervention group will send the guidance tube to the specified position. The extremely narrow carotid artery is like a road tiger to block the direction of the guide silk. Min Jie constantly adjusted the angle of the guide silk. Under the guidance of the "road map", the guide silk carefully moved forward and successfully connected the closed section, and then expanded the remote seal from the end of the inner neck to the opening of the neck arteries. The purpose of restoring brain blood flow. After the operation, Uncle Zhou disappeared. The "stroke" that made myself miserable was cured at the door of the house.

"It turns out that this treatment is performed in a composite surgical mode, which has achieved good results." Min Jie said.

Fight the "323" tackling war to attach importance to cerebrovascular disease prevention

Stroke is the first cause of death and disability. At present, the most common cause of stroke is the porridge sclerosis disease of the arterial arterial, of which one of the risk factors and causes of the stroke is one of the important risk factors and causes of stroke.

Min Jie said that carotid lesions are important causes of stroke, but most people currently pay more attention to blood lipids, blood pressure, and blood sugar, and the harm of carotid lesions has not received due attention. The elderly's understanding of cervical occlusion is particularly insufficient.

It is not difficult to prevent cervical occlusion. To develop a healthy lifestyle and adjust the diet structure. A variety of factors can lead to the formation of cervical artery plaques, such as family cervical arteries or coronary heart disease, hypertension, hyperlipidemia, diabetic history, and seniority, smoking, long -term mental tension. The risk of men 40 years old and female after 50 years of age increased significantly. Therefore, it should be paid to detecting the condition of the cervical artery, conducting a carotid examination once a year, and actively treatment in accordance with doctors' suggestions, regular review and health prevention.

In -depth promotion of the "323" campaign, the Jingzhou No. 1 Medical Stroke Center will continue to improve the ability to prevent and control cerebrovascular disease and escort the health of the masses.

Author: Zhao Baojia Fan Zhiyong Du Chuan Zhang Shilin Source: Jingzhou Daily

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