主动脉粥样硬化斑块与缺血性卒中关系的研究进展  

Aortic Arch Atheroma and its Relationship with Ischemic Stroke

作　　者：张志勇[1] 薛爽[1] 

机构地区：[1]卫生部中日友好医院神经内科,北京市10029

出　　处：《中国卒中杂志》2011年第4期325-330,共6页Chinese Journal of Stroke

摘　　要：目前,弓上颅外动脉粥样硬化性斑块和心脏是被公认的脑栓塞的主要来源,但仍有资料显示近1/3的脑栓塞栓子来源不明,提示着可能存在其他潜在的栓塞来源。随着各种影像学手段的不断普及和发展,尤其是经食道超声的广泛应用,许多研究者发现主动脉弓粥样硬化斑块(aorticarch atheroma,AAA)与缺血性卒中关系密切。本文旨在结合文献从流行病学、危险因素、二者相关性及诊治方面对主动脉粥样硬化斑块及其与卒中之间的关系进行综述。Currently, atherosclerotic plaque from supra-arch extracranial artery and cardia had been recognized as very important sources of cerebral embolism, but clinical informations showed that nearly one-third of cerebral embolism was unknown etiology, which suggested the existence of other potential sources of embolism. Along with popularization and improvement from all kinds of imaging methods, especially widespread using of transesophageal echocardiography, many scholars detected that aortic atherosclerotic disease was closely related to ischemic stroke. This review was mainly to discuss aortic arch atheroma and its relationship with ischemic stroke by reviewing previous literatures.

关 键 词：动脉粥样硬化斑块 缺血性卒中 主动脉弓粥样硬化 粥样硬化性斑块 经食道超声 脑栓塞 颅外动脉 栓子来源 

分 类 号：R743.3[医药卫生—神经病学与精神病学]