急性基底动脉闭塞血管内治疗的影像学评估
Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v4i2.4995
Abstract
基底动脉作为后循环系统的主干动脉闭塞时直接影响脑干功能,导致患者死亡率和致残率提高。随着近年来国内外多项随机对照试验不断开展,均表明前循环血管内治疗具有良好的预后效果。但对于后循环梗死尤其基底动脉闭塞患者治疗方式,尚且无同一标准,本文通过查阅相关文献发现,后循环基底动脉闭塞患者通过从不同影像学角度进行评估后,可判断该患者是否适合血管内治疗。
Keywords
基底动脉闭塞；预后；血管内治疗
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[1] ZI W,QIU Z,WU D,et al.Assessment of endovascular treat ment for acute basilar artery occlusion via a nationwide prospective registry[J].JAMA Neurol,2020,77(5):561-573.
[2] BUCHMAN S L,MERKLER A E.Basilar artery occlusion:diag nosis and acute treatment [J]. Curr Treat Options Neurol, 2019,21(10):45.
[3] BROUSSALIS E, HITZL W, MCCOY M, et al. Comparison of endovascular treatment versus conservative medical treatme nt in patients with acute basilar artery occlusion[J].Vasc Endovascular Surg,2013,47(6):429-437.
[4] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作组. 中国急性缺血性脑卒中早期血管内介入诊疗指南[J].中华神经科杂志,2018,51(9):9.
[5] INOUE M, MLYNASH M, STRAKA M, et al. Clinical outcomes strongly associated with the degree of reperfusion achieved in target mismatch patients: pooled data from the diffusion and perfusion imaging evaluation for understanding stroke evolution studies[J].Stroke, 2013,44(7):1885-1890.
[6] DEVOS T,GEUKENS T,SCHAUWVLIEGHE A,et al. A randomized, multicentre,open-label phase II proof-of-concept trial inve stigating the clinical efficacy and safety of the addition of convalescent plasma to the standard of care in patients hospitalized with COVID-19: the donated antibodies working against nCoV (dawn-plasma) trial[J].Trials,2020,21(1):981.
[7] HACKE W,KASTE M,FIESCHI C,et al.Intravenous thrombol ysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The european cooperative acute stroke study(ECASS)[J].Jama,1995,274(13):1017-1025.
[8] HACKE W,KASTE M,FIESCHI C,et al.Randomised doubleblind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Second european-australasian acute stroke study investigat ors[J].Lancet,1998,352(9136):1245-1251.
[9] BARBER P A, DEMCHUK A M, ZHANG J, et al. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS study group. Alberta stroke programme early CT score[J].Lancet,2000,355(9216):1670-1674.
[10] PUETZ V,SYLAJA P N,COUTTS S B,et al.Extent of hypoa ttenuation on CT angiography source images predicts functi onal outcome in patients with basilar artery occlusion[J].Stro ke,2008,39(9):2485-2490.
[11] TEI H, UCHIYAMA S, USUI T, et al.Posterior circulation ASPECTS on diffusion-weighted MRI can be a powerful marker for predicting functional outcome[J].JNeurol,2010,257(5):767 -773.
[12] RENARD D, LANDRAGIN N, ROBINSON A, et al. MRI-based score for acute basilar artery thrombosis [J]. Cerebrovasc Dis,2008,25(6):511-516.
[13] CHO T H, NIGHOGHOSSIAN N, TAHON F, et al. Brain stem diffusion-weighted imaging lesion score: a potential marker of outcome in acute basilar artery occlusion [J]. AJNR Am J Neuroradiol,2009,30(1):194-198.
[14] MOURAND I,MACHI P,NOGUé E, et al. Diffusion-weighted imaging score of the brain stem: A predictor of outcome in acute basilar artery occlusion treated with the Solitaire FR device[J].AJNR Am J Neuroradiol,2014,35(6):1117-1123.
[15] BRUNO C A,MEYERS P M. Endovascular procedures versus intravenous thrombolysis in stroke patients with tandem occlusion of the anterior circulation [J].J Vasc Interv Radiol,2014,25(8):1170-1171.
[16] MALHOTRA A,WU X. Letter by malhotra and wu regarding Article, "computed tomography angiography versus digital subtraction angiography for postclipping aneurysm obliterat ion detection: a meta-analysis"[J].Stroke,2019,50(6):e158.
[17] VILELA P,ROWLEY H A.Brain ischemia:CT and MRI techn iques in acute ischemic stroke[J].Eur J Radiol,2017,96:162- 172.
[18] QI M, LI Y, WU A, et al. Multi-sequence MR image-based synthetic CT generation using a generative adversarial netw ork for head and neck MRI-only radiotherapy[J].Med Phys, 2020,47(4):1880-1894.
[19] BOERS A M M, JANSEN I G H, BROWN S, et al. Mediation of the relationship between endovascular therapy and funct ional outcome by follow-up infarct volume in patients with acute ischemic stroke[J].JAMANeurol,2019,76(2):194-202.
[20] BANG O Y, SAVER J L, KIM S J, et al. Collateral flow averts hemorrhagic transformation after endovascular therapy for acute ischemicstroke[J].Stroke,2011,42(8):2235-2239.
[21] DA ROS V, MESCHINI A, GANDINI R, et al. Proposal for a vascular computed tomography-based grading system in post erior circulation stroke:a single-center experience[J].J Stro ke Cerebrovasc Dis,2016,25(2):368-377.
[22] AL-ALI F, ELIAS J J, FILIPKOWSKI D E, et al. Acute ischemic stroke treatment, part 1: patient selection "the 50% barrier and the capillary index score" [J]. Front Neurol, 2015,6:83.
[23] SOARES B P, CHIEN J D, WINTERMARK M. MR and CT moni toring of recanalization, reperfusion, and penumbra salvage: everything that recanalizes does notnecessarily reperfuse! [J].Stroke,2009,40(3Suppl):S24-S27.
[24] GERBER J C, MIAUX Y J, VON KUMMER R. Scoring flow rest oration in cerebral angiograms after endovascular revascula rization in acute ischemic stroke patients [J]. Neuroradiology,2015,57(3):227-240.
[25] SOARES B P, TONG E, HOM J, et al. Reperfusion is a more accurate predictor of follow-up infarct volume than recana lization: a proof of concept using CT in acute ischemic stroke patients[J].Stroke,2010,41(1):e34-e40.
[26] 李锦.脑血管造影侧支循环和静脉引流状态评估急性大脑中动脉闭塞取栓术患者预后的研究[D].中国人民解放军海军军医大学,2019.
[27] GRUBER K,MISSELWITZ B, STEINMETZ H, et al. Evaluation of endovascular treatment for acute basilar occlusion in a state-wide prospective stroke registry [J]. Front Neurol, 2021,12:678505.
[28] RAMGREN B, FRID P,NORRVING B,etal.Endovascular thera py in basilar artery occlusion in Sweden 2016-2019-a natio nwide, prospective registrystudy[J].Neuroradiology,2021.
[2] BUCHMAN S L,MERKLER A E.Basilar artery occlusion:diag nosis and acute treatment [J]. Curr Treat Options Neurol, 2019,21(10):45.
[3] BROUSSALIS E, HITZL W, MCCOY M, et al. Comparison of endovascular treatment versus conservative medical treatme nt in patients with acute basilar artery occlusion[J].Vasc Endovascular Surg,2013,47(6):429-437.
[4] 中华医学会神经病学分会,中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作组. 中国急性缺血性脑卒中早期血管内介入诊疗指南[J].中华神经科杂志,2018,51(9):9.
[5] INOUE M, MLYNASH M, STRAKA M, et al. Clinical outcomes strongly associated with the degree of reperfusion achieved in target mismatch patients: pooled data from the diffusion and perfusion imaging evaluation for understanding stroke evolution studies[J].Stroke, 2013,44(7):1885-1890.
[6] DEVOS T,GEUKENS T,SCHAUWVLIEGHE A,et al. A randomized, multicentre,open-label phase II proof-of-concept trial inve stigating the clinical efficacy and safety of the addition of convalescent plasma to the standard of care in patients hospitalized with COVID-19: the donated antibodies working against nCoV (dawn-plasma) trial[J].Trials,2020,21(1):981.
[7] HACKE W,KASTE M,FIESCHI C,et al.Intravenous thrombol ysis with recombinant tissue plasminogen activator for acute hemispheric stroke. The european cooperative acute stroke study(ECASS)[J].Jama,1995,274(13):1017-1025.
[8] HACKE W,KASTE M,FIESCHI C,et al.Randomised doubleblind placebo-controlled trial of thrombolytic therapy with intravenous alteplase in acute ischaemic stroke (ECASS II). Second european-australasian acute stroke study investigat ors[J].Lancet,1998,352(9136):1245-1251.
[9] BARBER P A, DEMCHUK A M, ZHANG J, et al. Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy. ASPECTS study group. Alberta stroke programme early CT score[J].Lancet,2000,355(9216):1670-1674.
[10] PUETZ V,SYLAJA P N,COUTTS S B,et al.Extent of hypoa ttenuation on CT angiography source images predicts functi onal outcome in patients with basilar artery occlusion[J].Stro ke,2008,39(9):2485-2490.
[11] TEI H, UCHIYAMA S, USUI T, et al.Posterior circulation ASPECTS on diffusion-weighted MRI can be a powerful marker for predicting functional outcome[J].JNeurol,2010,257(5):767 -773.
[12] RENARD D, LANDRAGIN N, ROBINSON A, et al. MRI-based score for acute basilar artery thrombosis [J]. Cerebrovasc Dis,2008,25(6):511-516.
[13] CHO T H, NIGHOGHOSSIAN N, TAHON F, et al. Brain stem diffusion-weighted imaging lesion score: a potential marker of outcome in acute basilar artery occlusion [J]. AJNR Am J Neuroradiol,2009,30(1):194-198.
[14] MOURAND I,MACHI P,NOGUé E, et al. Diffusion-weighted imaging score of the brain stem: A predictor of outcome in acute basilar artery occlusion treated with the Solitaire FR device[J].AJNR Am J Neuroradiol,2014,35(6):1117-1123.
[15] BRUNO C A,MEYERS P M. Endovascular procedures versus intravenous thrombolysis in stroke patients with tandem occlusion of the anterior circulation [J].J Vasc Interv Radiol,2014,25(8):1170-1171.
[16] MALHOTRA A,WU X. Letter by malhotra and wu regarding Article, "computed tomography angiography versus digital subtraction angiography for postclipping aneurysm obliterat ion detection: a meta-analysis"[J].Stroke,2019,50(6):e158.
[17] VILELA P,ROWLEY H A.Brain ischemia:CT and MRI techn iques in acute ischemic stroke[J].Eur J Radiol,2017,96:162- 172.
[18] QI M, LI Y, WU A, et al. Multi-sequence MR image-based synthetic CT generation using a generative adversarial netw ork for head and neck MRI-only radiotherapy[J].Med Phys, 2020,47(4):1880-1894.
[19] BOERS A M M, JANSEN I G H, BROWN S, et al. Mediation of the relationship between endovascular therapy and funct ional outcome by follow-up infarct volume in patients with acute ischemic stroke[J].JAMANeurol,2019,76(2):194-202.
[20] BANG O Y, SAVER J L, KIM S J, et al. Collateral flow averts hemorrhagic transformation after endovascular therapy for acute ischemicstroke[J].Stroke,2011,42(8):2235-2239.
[21] DA ROS V, MESCHINI A, GANDINI R, et al. Proposal for a vascular computed tomography-based grading system in post erior circulation stroke:a single-center experience[J].J Stro ke Cerebrovasc Dis,2016,25(2):368-377.
[22] AL-ALI F, ELIAS J J, FILIPKOWSKI D E, et al. Acute ischemic stroke treatment, part 1: patient selection "the 50% barrier and the capillary index score" [J]. Front Neurol, 2015,6:83.
[23] SOARES B P, CHIEN J D, WINTERMARK M. MR and CT moni toring of recanalization, reperfusion, and penumbra salvage: everything that recanalizes does notnecessarily reperfuse! [J].Stroke,2009,40(3Suppl):S24-S27.
[24] GERBER J C, MIAUX Y J, VON KUMMER R. Scoring flow rest oration in cerebral angiograms after endovascular revascula rization in acute ischemic stroke patients [J]. Neuroradiology,2015,57(3):227-240.
[25] SOARES B P, TONG E, HOM J, et al. Reperfusion is a more accurate predictor of follow-up infarct volume than recana lization: a proof of concept using CT in acute ischemic stroke patients[J].Stroke,2010,41(1):e34-e40.
[26] 李锦.脑血管造影侧支循环和静脉引流状态评估急性大脑中动脉闭塞取栓术患者预后的研究[D].中国人民解放军海军军医大学,2019.
[27] GRUBER K,MISSELWITZ B, STEINMETZ H, et al. Evaluation of endovascular treatment for acute basilar occlusion in a state-wide prospective stroke registry [J]. Front Neurol, 2021,12:678505.
[28] RAMGREN B, FRID P,NORRVING B,etal.Endovascular thera py in basilar artery occlusion in Sweden 2016-2019-a natio nwide, prospective registrystudy[J].Neuroradiology,2021.
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