›› 2011, Vol. 6 ›› Issue (04): 325-330.

• 综述 • 上一篇    下一篇

主动脉粥样硬化斑块与缺血性卒中关系的研究进展

张志勇,薛爽   

  1. 北京市卫生部中日友好医院神经内科
  • 收稿日期:2010-12-24 修回日期:2010-11-24 出版日期:2011-04-20 发布日期:2011-04-20
  • 通讯作者: 薛爽

Aortic Arch Atheroma and its relationship with Ischemic Stroke

ZHANG Zhi-Yong, XUEShuang

  

  • Received:2010-12-24 Revised:2010-11-24 Online:2011-04-20 Published:2011-04-20
  • Contact: XUEShuang

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。

关键词: 脑梗死; 颅内栓塞; 主动脉; 动脉粥样硬化; 斑块

Abstract: Currently, atherosclerotic plaque from supra-arch extracranial artery and cardia hadbeen recognized as very important sources of cerebral embolism, but clinical informations showedthat nearly one-third of cerebral embolism was unknown etiology, which suggested the existence ofother potential sources of embolism. Along with popularization and improvement from all kinds ofimaging methods, especially widespread using of transesophageal echocardiography, many scholarsdetected that aortic atherosclerotic disease was closely related to ischemic stroke. This reviewwas mainly to discuss aortic arch atheroma and its relationship with ischemic stroke by reviewingprevious literatures.

Key words: Brain infarction; Intracranial embolism; Aorta; Atherosclerosis; Ischemic stroke