中国卒中杂志2025，Vol.20Issue(4)：500-510,11.DOI:10.3969/j.issn.1673-5765.2025.04.015
脑侧支循环评估方法的研究进展
Advances in Cerebral Collateral Circulation Assessment Methods
赵开杰 1孙秀亭 1袁曼 1胡婉贞 2张晓燕2
作者信息
- 1. 兰州 730000 甘肃中医药大学第一临床医学院||联勤保障部队第九四〇医院神经内科
- 2. 联勤保障部队第九四〇医院神经内科
- 折叠
摘要
Abstract
Collateral circulation holds significant clinical value in the prognostic evaluation of patients with acute ischemic stroke.By establishing hemodynamic compensatory pathways,it effectively reduces the risk of neuronal injury in ischemic core regions,especially demonstrating irreplaceable neuroprotective effects in cases of large vessel stenosis or occlusion.Precise assessment of collateral circulation can not only guide the selection of indications for revascularization therapy and optimize the determination of treatment time window but also significantly influence the procedural success rates of mechanical thrombectomy and the risks of postoperative cerebral hyperperfusion syndrome.Single-parameter assessment of the collateral circulation has limitations,and the latest evidence-based medical evidence supports the construction of a multimodal comprehensive assessment system.This paper systematically reviews four aspects of collateral circulation assessment,including conventional imaging assessment methods,venous outflow hemodynamic parameter analysis,biomarker detection,and artificial intelligence-assisted multimodal CT imaging techniques.The integrated application of these assessment methods provides clinicians with multidimensional means of assessing collateral circulation,offering crucial technical support for achieving precise and individualized stroke treatment.关键词
侧支循环/评估/缺血性卒中Key words
Collateral circulation/Assessment/Ischemic stroke分类
临床医学引用本文复制引用
赵开杰,孙秀亭,袁曼,胡婉贞,张晓燕..脑侧支循环评估方法的研究进展[J].中国卒中杂志,2025,20(4):500-510,11.
