脑静脉侧支循环评估在急性缺血性卒中患者血管内治疗转归中的研究进展OA北大核心CSTPCD
Research progress on evaluation of cerebral venous collateral circulation in endovascular treatment outcomes of acute ischemic stroke
血管内治疗是急性缺血性卒中的有效治疗手段.脑动脉侧支循环常被认为是制定血管内治疗决策和预测患者临床预后的重要因素.然而,近年的研究证据显示,脑静脉侧支循环对急性缺血性卒中患者的临床转归同样重要.脑静脉侧支循环不仅为脑血液循环提供关键的引流作用,其动态变化也关联着患者的临床预后、早期神经功能恶化、无效再通、出血转化及脑水肿形成等多种结局.作者旨在通过复习急性缺血性卒中血管内治疗脑静脉侧支循环评估的相关研究报道,阐述脑静脉侧支循环在接受血管内治疗的急性缺血性卒中患者转归中的潜在作用机制与临床应用,以期为急性缺血性卒中的防治策略提供新的思路.
Endovascular treatment is a highly effective treatment for acute ischemic stroke.Cerebral arterial collateral circulation has traditionally been recognized as a significant factor in making endovascular treatment decisions and predicting clinical outcomes.However,recent studies indicated that cerebral venous collateral circulation was also crucial for the clinical outcomes of stroke patients.Venous collaterals not only provide perfusion for cerebral blood flow but also correlate with multiple outcomes including clinical prognosis,early neurological deterioration,futile recanalization,hemorrhagic transformation,and cerebral edema formation.The authors summarized the research progress of cerebral venous collateral evaluation in the endovascular treatment of acute ischemic stroke,and explored the potential mechanisms and clinical applications,aiming to provide new perspectives on stroke prevention and treatment.
菲罗拉·卡萨尔;朱希婧;廖安宇;朱武生
210002 南京大学医学院附属金陵医院(东部战区总医院)神经内科南京医科大学金陵临床医学院(东部战区总医院)神经内科
急性缺血性卒中血管内治疗脑静脉侧支循环综述
Acute ischemic strokeEndovascular treatmentCerebral veinsCollateral circulationReview
《中国脑血管病杂志》 2024 (005)
319-326 / 8
国家自然科学基金(82271361)
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