大血管闭塞性卒中患者的侧支循环评估  

Evaluation of collateral circulation in patients with large vessel occlusive stroke

作　　者：刘畅 白海威[1] 祝琳[1] 李彦青[1] 刘青蕊[1] Liu Chang;Bai Haiwei;Zhu Lin;Li Yanqing;Liu Qingrui(Department of Neurology,the Fourth Hospital of Hebei Medical University,Shijiazhuang 053000,China)

机构地区：[1]河北医科大学第四医院神经内科,石家庄053000

出　　处：《国际脑血管病杂志》2019年第12期909-913,共5页International Journal of Cerebrovascular Diseases

摘　　要：卒中因其高患病率、高致残率和高复发率严重危害人类生命健康,其中以大血管闭塞性卒中(large vessel occlusive stroke,LVOS)转归最差。快速恢复脑灌注是改善LVOS患者转归的关键。作为一种新型治疗手段,血管内治疗可有效再通闭塞血管,延长治疗时间窗。侧支循环水平决定了LVOS患者的症状严重程度、治疗抉择、治疗效果以及转归。文章总结了LVOS患者侧支循环代偿的相关临床因素,重点阐述了影像学技术在侧支循环评估中的应用价值。Stroke seriously endangers people's life and health because of its high prevalence,disability and recurrence rate.Among them,large vessel occlusive stroke(LVOS)has the worst outcome.Rapid recovery of cerebral perfusion is the key to improve the outcomes of patients with LVOS.As a new type of treatment,endovascular treatment can effectively recanalize the occluded blood vessels and extend the treatment time window.The level of collateral circulation determines the severity of symptoms,treatment choices,treatment effects and outcomes in patients with LVOS.This article summarizes the clinical factors related to collateral circulation compensation in patients with LVOS,and focuses on the application value of imaging technology in the evaluation of collateral circulation.

关 键 词：卒中 脑缺血 颅内动脉硬化 动脉闭塞性疾病 侧支循环 神经影像 

分 类 号：R74[医药卫生—神经病学与精神病学]