中风与神经疾病杂志2016，Vol.33Issue(9)：808-811,4.
卵圆孔未闭并隐源性卒中的临床及影像学分析
Clinical and imaging analysis of cryptogenic stroke with patentf oramen ovale
李艳 1段智慧 1杨致远 1宋彬彬 1马聪敏 1韩月珍 1商丹丹1
作者信息
- 1. 郑州大学附属洛阳中心医院神经内科，河南洛阳471000
- 折叠
摘要
Abstract
Object ive To investigate the clinical and imaging features of cryptogenic stroke (CS) with patent fora-men ovale (PFO).Methods The patients with acute ischemic stroke (AIS) of age≤65 years were recruited at Depart-ment of Neurology,Luoyang Central Hospital Affiliated to Zhengzhou University from March 2015 to December 2015.All the patients were performed cerebrovascular disease risk factor screening and were divided into five subtypes based on TOAST classification.Contrast transthoracic echocardiography ( cTTE) and contrast transcranial doppler (cTCD) were used to detect the presence of PFO.The prevalence of PFO in AIS were was analyzed as well as the shunt volume and ima-ging features of CS with PFO.Meanwhile,we observed the effect of transcatheter closure on some PFO patients.Results A total of 141 AIS patients were enrolled,which contained 48 CS subjects (34%) and 93 non-CS subjects.The frequency of PFO in AIS group,CS group,non-CS group was respectively 31.2% (44 /141),47.9% (23/48),22.6% (21 /93) re-spectively.In the PFO group,lager shunt was observed in CS subgroup than non-CS subgroup (P =0.007).There were no significant differences in this two subgroups.The cerebral ischemic event recurrence among patients with device closure was not observed in the six-month follow-up.Conclusion PFO and shunt volume were closely related with CS.But,CS with PFO patients have no special imaging features.More efforts should employed in PFO detection in CS and the management of CS with PFO.关键词
急性缺血性卒中/隐源性卒中/卵圆孔未闭/经胸超声心动图声学造影/经颅多普勒声学造影Key words
Acute ischemic stroke/Cryptogenic stroke/Patent foramen ovale/Contrast transthoracic echocar-diography/Contrast transcranial doppler分类
临床医学引用本文复制引用
李艳,段智慧,杨致远,宋彬彬,马聪敏,韩月珍,商丹丹..卵圆孔未闭并隐源性卒中的临床及影像学分析[J].中风与神经疾病杂志,2016,33(9):808-811,4.
