Flair血管高信号征-DWI错配在急性大动脉闭塞卒中患者取栓治疗预后的预测价值  

Prognostic value of Fluid-attenuated inversion recovery vascular hyperintensity-diffusion weighted imaging mismatch in patients with acute Ischemic stroke after thrombectomy

作　　者：柳青[1] 王晓龙 张天丽 李晓泽[1] LIU Qing;WANG Xiaolong;ZHANG Tianli(Department of Neurology,Taiyuan Central Hospital,Taiyuan 030009,China)

机构地区：[1]太原市中心医院神经内科,山西太原030009

出　　处：《中风与神经疾病杂志》2022年第6期500-502,共3页Journal of Apoplexy and Nervous Diseases

基　　金：山西省卫生健康委员会科研项目(No.2019114)。

摘　　要：目的研究Flair血管高信号征(FVH)-DWI错配对于大动脉闭塞急性脑卒中患者经血管内治疗后预后是否有预测作用。方法我们回顾分析了52例2020年-2021年合并大血管闭塞并经取栓治疗的急性缺血性脑卒中患者,评估这些患者的FVH,近端FVH,远端FVH和FVH-DWI错配。结果我们发现在FVH-DWI阳性组中,有更好侧支循环(P<0.001),以及功能预后更好(P<0.001)。多因素Logistic回归分析提示FVH-DWI错配是90 d良好预后的预测因素(OR 0.015)。结论经血管内治疗大血管闭塞的急性缺血性脑卒中患者如果术前影像发现FVH-DWI错配的可能有更好的临床预后。Objective We sought to investigate the prognostic value of FVH-DWI mismatch in acute stroke patients with lager vessel occlusion that received thrombectomy.Methods We reviewed our monocentric collected endovascular treatment database of patients with AIS from January 2020 to march 2021 who had received thrombectomy.All patients received pre-procedural MRI scans,Imaging protocols were assessed for FVH,distal FVH,proximal FVH and FVH-DWI mismatch.Results We found better collateral circulation(P<0.001),better functional independence(P<0.001)in patients with FVH-DWI mismatch.Multivariable logistic regression model indicated that FVH-DWI mismatch(OR 0.015)was associated with favorable clinical outcome.Conclusions Our study revealed that FVH-DWI mismatch was associated with the good outcome among patients with lager vessel occlusion.

关 键 词：大动脉闭塞 卒中 扩散加权成像 血管高信号征 

分 类 号：R743.3[医药卫生—神经病学与精神病学]