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急性缺血性卒中侧支循环建立的评估及其对预后的影响 被引量：12

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摘要 卒中是目前影响国人生活质量的主要疾病,已超过心脏疾病成为导致死亡及成年人残疾的首位原因[1].其中,缺血性卒中大约占所有卒中的79％[2].最新的一个关于中国颅内动脉粥样硬化性血管狭窄的多中心研究（the ChineseIntracranial Atherosclerosis Study,CICAS）[3]结果显示颅内大动脉狭窄占缺血性卒中病因的47％.急性缺血性卒中最有效的治疗方法为超早期的溶栓治疗及抗栓治疗等,但这依赖于患者及其家属对疾病的早期识别及神经科专科医师的丰富经验,“有限的治疗时间窗”也直接导致了能够及时接受溶栓的患者比例较低.
作者 刘欣 Liebeskind David
机构地区 首都医科大学附属北京天坛医院神经内科天坛脑血管病中心 Departmentofstrokecenter
出处 《中华内科杂志》 CAS CSCD 北大核心 2014年第5期416-418,共3页 Chinese Journal of Internal Medicine
关键词 急性缺血性卒中 侧支循环 动脉粥样硬化性 预后 评估 心脏疾病 溶栓治疗 早期识别
分类号 R743.3 [医药卫生—神经病学与精神病学]
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参考文献36

  • 1Liu M, Wu B, Wang WZ, et al. Stroke in China: epidemiology, prevention, and management strategies[ J]. Lancet Neurol, 2007, 6:456-464.
  • 2Liu L, Wang D, Wong KS,et al. Stroke and stroke care in China: huge burden, significant workload, and a national priority [ J ] Stroke, 2011,42:3651-3654.
  • 3Wang Y, Cui L, Ji X, et al. The China National Stroke Registry for patients with acute cerebrovascular events: design, rationale, and baseline patient characteristics [ J ] Int J Stroke, 2011,6 : 355-361.
  • 4Liebeskind DS. Stroke: the currency of collateral circulation in acute ischemic stroke[ J]. Nat Rev Neurol, 2009,5:645-646.
  • 5Liebeskind DS. Collateral circulation[ J]. Stroke, 2003,34:2279- 2284.
  • 6Vernieri F, Pasqualetti P, Matteis M, et al. Effect of collateral blood flow and cerebral vasomotor reactivity on the outcome of carotid artery occlusion[ J]. Stroke, 2001,32 : 1552-1558.
  • 7Liebeskind DS. Collateral perfusion: time for novel paradigms in cerebral ischemia[ J]. Int J Stroke, 2012,7:309-310.
  • 8Zareie H, Quain DA, Parsons M, et al. The influence of anterior cerebral artery flow diversion measured by transcranial Doppler on acute infarct volume and clinical outcome in anterior circulation stroke[ J]. Int J Stroke, 2013,8:228-234.
  • 9Shuaib A, Butcher K, Mohammad AA, et al. Collateral blood vessels in acute ischaemic stroke: a potential therapeutic target [ J]. Lancet Neurol, 2011,10:909-921.
  • 10Gonzalez NR, Liebeskind DS, Dusick JR, et al. Intracranial arterial stenoses : current viewpoints, novel approaches, and surgical perspectives[ J]. Neurosurg Rev, 2013,36 : 175-184.

二级参考文献20

  • 1Liu W, Xu G, Yue X, et al. Hyperintense vessels on FLAIR: a useful non-invasive method for assessing intracerebral collaterals. Eur J Radiol, 2011, 80:786-791.
  • 2Lee KY, Latour LL, Luby M, et al. Distal hyperintense vessels on FLAIR: an MRI marker for collateral circulation in acute stroke? Neurology, 2009, 72 : 1134-1139.
  • 3Schellinger PD, Chalela JA, Kang DW, et al. Diagnostic and prognostic value of early MR Imaging vessel signs in hyperacute stroke patients imaged < 3 hours and treated with recombinant tissue plasminogen activator. AJNR Am J Neuroradiol, 2005, 26: 618-624.
  • 4Girot M, Gauvrit JY, Cordonnier C, et al. Prognostic value of hyperintense vessel signals on fluid-attenuated inversion recovery sequences in acute cerebral ischemia. Eur Neurol, 2007, 57 : 75- 79.
  • 5Kucinski T, Koch C, Eckert B, et al. Collateral circulation is an independent radiological predictor of outcome after thrombolysis in acute ischaemic stroke. Neuroradiology, 2003, 45 : 11-18.
  • 6Liebeskind DS. Location, location, location : angiography discerns early MR imaging vessel signs due to proximal arterial occlusion and distal collateral flow. AJNR Am J NeuroradM, 2005, 26: 2432-2433.
  • 7Cosnard G, Duprez T, Grandin C, et al. Fast FLAIR sequence for detecting major vascular abnormalities during the hypreacute phase of stroke: a comparison with MR angiography. Neuroradiology, 1999, 41 : 342-346.
  • 8Sanossian N, Saver JL, Alger JR, et al. Angiography reveals that fluid-attenuated inversion recovery vascular hyperintensities are due to slow flow, not thrombus. AJNR Am J Neuroradiol, 2009, 30 : 564-568.
  • 9Liebeskind DS. Collateral circulation. Stroke, 2003, 34: 2279- 2284.
  • 10Hedera P, Bujdakova J, Traubner P, et al. Stroke risk factors and development of collateral flow in carotid occlusive disease. Acta Neurol Scand, 1998, 98 : 182-186.

共引文献43

同被引文献86

引证文献12

二级引证文献78

中华内科杂志
2014年 第5期

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