中国卒中杂志 ›› 2013, Vol. 8 ›› Issue (01): 59-63.

• 综述 • 上一篇    下一篇

颅内动脉粥样硬化性狭窄的评估及分型

马宁1,徐子奇2,高坤1,徐晓彤1,赵性泉3   

  1. 1100050 北京
    首都医科大学附属北京天坛医院脑血管病中心 急诊介入科
    2浙江大学医学院第一附属医院神经内科
    3首都医科大学附属北京天坛医院脑血管病中心 神经内科
  • 收稿日期:2012-05-11 出版日期:2013-01-20 发布日期:2013-01-20
  • 通讯作者: 赵性泉 zxq@vip.163.com

Assessment and Classification of Intracranial Artery Stenosis

  1. *Department of Emergency Interventional Radiology, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2012-05-11 Online:2013-01-20 Published:2013-01-20

摘要:

缺血性卒中是多种病因和发病机制所致的临床综合征,颅内动脉粥样硬化是缺血性卒中最常见的病因。经颅多普勒超声(transcranial Doppler,TCD)、磁共振血管成像(magnetic resonance angiograph,MRA)、计算机断层扫描血管造影(computed tomography angiography,CTA)和数字减影血管造影术(digital subtraction angiography,DSA)已经成熟应用于颅内动脉粥样硬化狭窄的评估。颅内动脉粥样硬化性狭窄的介入治疗已经十分广泛,而颅内动脉粥样硬化的分级对于介入治疗十分重要。本文对颅内动脉粥样硬化狭窄的评估和分型研究进展情况做一综述。

文章导读: 【点睛】
本文对颅内动脉狭窄的评估手段及最新进展、尤其是颅内动脉狭窄的分级进行综述,将很好地指导颅内动脉狭窄的介入治疗。

Abstract:

Ischemic stroke is a clinical syndrome caused by a variety of etiologies and pathogeneses. Intracranial cerebral artery atherosclerosis is the most common cause of ischemic stroke. Transcranial Doppler (TCD), magnetic resonance angiograph (MRA), computed tomography angiography (CTA) and digital subtraction angiography (DSA) have been widely used to diagnose intracranial artery stenosis. Atherosclerotic stenosis of intracranial artery has been widely treated with interventional therapy, and its clinical grading plays a great role in the interventional treatment. The article reviews the clinical progression and image grading of intracranial atherosclerosis.