心脑血管病防治2023，Vol.23Issue(11)：1-3,10,4.DOI:10.3969/j.issn.1009-816x.2023.11.001
心脏右向左分流相关隐源性脑卒中的临床及影像特点分析
Analysis on clinical and imaging characteristics of cryptogenic stroke related to right-to-left shunt
摘要
Abstract
Objective To investigate the clinical manifestations and imaging features of cryptogenic stroke(CS)patients with right-to-left shunt(RLS).Methods A total of 147 patients diagnosed as CS at Zhejiang Hospital from May 2019 to March 2022 were collected retrospectively.All patients completed contrast-enhanced transcranial Doppler(c-TCD)ultrasound examination,and were divided into positive and negative groups according to the examination results.The age,personal history,medical history,clinical manifestations,presence of significant RLS on c-TCD,and imaging features etc.were compared between the two groups.Results There were no significant differences in clinical manifestations between the positive and negative groups.However,there were significant differences in the distribution of lesion side and blood supply areas among the imaging features(χ2=7.573,5.356;P<0.05).Multivariate Logistic regression analysis showed that lesions located on the right side and bilateral sides,and involving both anterior and posterior circulation supply areas were independent influencing factors for RLS[OR(95%CI)=2.881(1.188-6.983),3.869(1.416-10.571),0.239(0.093-0.613);all P<0.05].Conclusion Clinical manifestations of RLS-related CS are diverse and atypical.Imaging features of CS patients with lesions involving both anterior and posterior circulation supply areas,predominantly on the right hemisphere or both hemispheres,may suggest an association with RLS.关键词
心脏右向左分流/卵圆孔未闭/隐源性脑卒中/对比增强经颅多普勒超声Key words
Right-to-left shunt/Patent foramen ovale/Cryptogenic stroke/Contrast-enhanced transcranial Doppler ultrasound引用本文复制引用
孔琦,刘小利,姜佩依,梁圣..心脏右向左分流相关隐源性脑卒中的临床及影像特点分析[J].心脑血管病防治,2023,23(11):1-3,10,4.
