中国卒中杂志2024,Vol.19Issue(9):1077-1085,9.DOI:10.3969/j.issn.1673-5765.2024.09.013
急性缺血性卒中磁敏感血管征影响因素及临床应用的研究进展
Research Progress on Factors Related to the Susceptibility Vessel Sign and its Clinical Application in Acute Ischemic Stroke
阿娜古丽·阿不拉尼压孜 1吴晓欣 1李骄星 1李竹浩 2盛文利1
作者信息
- 1. 广州 510080 中山大学附属第一医院神经科,广东省重大神经疾病诊治研究重点实验室
- 2. 中山大学附属第一医院放射诊断科
- 折叠
摘要
Abstract
Intravenous thrombolysis and endovascular treatment in the treatment time window can reduce the mortality and disability rate of patients with acute ischemic stroke(AIS),which is the level Ⅰa evidence recommended by the national guidelines for AIS,but may cause revascularization failure and more serious complications.Susceptibility vessel sign(SVS)is defined as the presence of hypointensity in the area of the responsible vessel on T2 WI or SWI scans.The SVS reflects the hemosiderin content and is highly sensitive to thrombus.Therefore,SVS can be used to infer the subtype of AIS,the thrombus burden,the symptom onset time,and other factors associated with successful revascularization.It is helpful to guide the selection of treatment for hyperacute ischemic stroke,assess the efficacy of treatment,and reduce the occurrence of poor prognosis.The clinical application of SVS has been controversial because there are many factors affecting it.This paper reviewed the influencing factors,such as the symptom onset time,stroke subtype,thrombus location,MRI scanner,and the clinical application of SVS.关键词
急性缺血性卒中/超急性期治疗/磁敏感加权成像/磁敏感血管征/血管再通/影响因素Key words
Acute ischemic stroke/Hyperacute phase therapy/Susceptibility weighted imaging/Susceptibility vessel sign/Revascularization/Influencing factor分类
医药卫生引用本文复制引用
阿娜古丽·阿不拉尼压孜,吴晓欣,李骄星,李竹浩,盛文利..急性缺血性卒中磁敏感血管征影响因素及临床应用的研究进展[J].中国卒中杂志,2024,19(9):1077-1085,9.