中国卒中杂志 ›› 2017, Vol. 12 ›› Issue (11): 1041-1056.DOI: 10.3969/j.issn.1673-5765.2017.11.014
收稿日期:
2017-10-17
出版日期:
2017-11-20
发布日期:
2017-11-20
通讯作者:
缪中荣 zhongrongm@163.com
基金资助:
“十三五”国家重点研发计划项目,重大慢性非传染性疾病防控研究,“急性缺血性卒中再灌注治疗关键技术与流程改进研究”(2016YFC1301500)
Received:
2017-10-17
Online:
2017-11-20
Published:
2017-11-20
. 急性缺血性卒中血管内治疗影像评估中国专家共识[J]. 中国卒中杂志, 2017, 12(11): 1041-1056.
[1] BERKHEMER O A,FRANSEN P S,BEUMER D,et al. A randomized trial of intraarterial treatmentfor acute ischemic stroke[J]. N Engl J Med,2015,372(1):11-20.[2] CAMPBELL B C,MITCHELL P J,KLEINIG T J,et al. Endovascular therapy for ischemic stroke withperfusion-imaging selection[J]. N Engl J Med,2015,372(11):1009-1018.[3] GOYAL M,DEMCHUK A M,MENON B K,etal. Randomized assessment of rapid endovasculartreatment of ischemic stroke[J]. N Engl J Med,2015,372(11):1019-1030.[4] JOVIN T G,CHAMORRO A,COBO E,et al.Thrombectomy within 8 hours after symptom onsetin ischemic stroke[J]. N Engl J Med,2015,372(24):2296-2306.[5] SAVER J L,GOYAL M,BONAFE A,et al. Stentretrieverthrombectomy after intravenous t-PA vs .t-PA alone in stroke[J]. N Engl J Med,2015,372(24):2285-2295.[6] EILAGHI A,BROOKS J,D'ESTERRE C,et al.Reperfusion is a stronger predictor of good clinicaloutcome than recanalization in ischemic stroke[J].Radiology,2013,269(1):240-248.[7] LESLIE-MAZWI T M,HIRSCH J A,FALCONEG J,et al. Endovascular stroke treatment outcomesafter patient selection based on magnetic resonanceimaging and clinical criteria[J]. JAMA Neurol,2016,73(1):43-49.[8] KIDWELL C S,JAHAN R,GORNBEIN J,et al. Atrial of imaging selection and endovascular treatmentfor ischemic stroke[J]. N Engl J Med,2013,368(10):914-923.[9] BERKHEMER O A,JANSEN I G,BEUMERD,et al. Collateral status on baseline computedtomographic angiography and intra-arterialtreatment effect in patients with proximal anteriorcirculation stroke[J]. Stroke,2016,47(3):768-776.[10] LENG X,FANG H,LEUNG T W,et al. Impact ofcollaterals on the efficacy and safety of endovasculartreatment in acute ischaemic stroke:a systematicreview and meta-analysis[J]. J Neurol Neurosurg Psychiatry,2016,87(5):537-544.[11] ROTZINGER D C,MOSIMANN P J,MEULI R A,etal. Site and rate of occlusive disease in cervicocerebralarteries:a CT angiography study of 2209 patients withacute ischemic stroke[J]. AJNR Am J Neuroradiol,2017,38(5):868-874.[12] VANACKER P,LAMBROU D,ESKANDARI A,etal. Improving prediction of recanalization in acutelarge-vessel occlusive stroke[J]. J Thromb Haemost,2014,12(6):814-821.[13] GOYAL M,MENON B K,VAN ZWAM W H,etal. Endovascular thrombectomy after large-vesselischaemic stroke:a meta-analysis of individual patientdata from five randomised trials[J]. Lancet,2016,387(10029):1723.[14] VAN GAAL S C,KAMAL N,BETZNER M J,etal. Approaches to the field recognition of potentialthrombectomy candidates[J]. Int J Stroke,2017,12(7):698-707.[15] CHEN C J,WANG C,BUELL T J,et al. Endovascularmechanical thrombectomy for acute middle cerebralartery M2 segment occlusion:a systematic review[J/OL]. World Neurosurg,2017,107:684-691. http://dx.doi.org/10.1016/j.wneu.2017.08.108.[16] SCHONEWILLE W J,WIJMAN C A,MICHELP,et al. Treatment and outcomes of acute basilarartery occlusion in the Basilar Artery InternationalCooperation Study(BASICS):a prospective registrystudy[J]. Lancet Neurology,2009,8(8):724.[17] GORY B,ELDESOUKY I,SIVAN-HOFFMANNR,et al. Outcomes of stent retriever thrombectomy inbasilar artery occlusion:an observational study andsystematic review[J]. J Neurol Neurosurg Psychiatry,2016,87(5):520-525.[18] BRODERICK J P,PALESCH Y Y,DEMCHUK A M,et al. Interventional Management of Stroke(IMS)IIIInvestigators. Endovascular therapy after intravenoust-PA versus t-PA alone for stroke[J]. N Engl J Med,2013,368(10):893-903.[19] CAMPBELL B C,CHRISTENSEN S,LEVI C R,etal. Cerebral blood flow is the optimal CT perfusionparameter for assessing infarct core[J]. Stroke,2011,42(12):3435-3440.[20] JOVIN T G,YONAS H,GEBEL J M,et al. Thecortical ischemic core and not the consistently presentpenumbra is a determinant of clinical outcome in acutemiddle cerebral artery occlusion[J]. Stroke,2003,34(10):2426-2433.[21] PADRONI M,BERNARDONI A,TAMBORINOC,et al. Cerebral blood volume aspects is the bestpredictor of clinical outcome in acute ischemic stroke:A retrospective,combined semi-quantitative andquantitative assessment[J]. PLoS One,2016,11(1):e0147910.[22] BARBER P A,DEMCHUK A M,ZHANG J,etal. Validity and reliability of a quantitative computedtomography score in predicting outcome of hyperacutestroke before thrombolytic therapy. ASPECTS StudyGroup. Alberta Stroke Programme Early CT Score[J].Lancet,2000,355(9216):1670-1674.[23] FEDERAU C,CHRISTENSEN S,MLYNASHM,et al. Comparison of stroke volume evolution ondiffusion-weighted imaging and fluid-attenuatedinversion recovery following endovascularthrombectomy[J]. Int J Stroke,2017,12(5):510-518.[24] DE MARGERIE-MELLON C,TURC G,TISSERAND M,et al. Can DWI-ASPECTS substitutefor lesion volume in acute stroke[J]? Stroke,2013,44(12):3565-3567.[25] PUETZ V,SYLAJA P N,COUTTS S B,et al. Extentof hypo attenuation on CT angiography source imagespredicts functional outcome in patients with basilarartery occlusion[J]. Stroke,2008,39(9):2485-2490.[26] KIM S K,YOON W,PARK M S,et al. Outcomes arenot different between patients with intermediate andhigh DWI-ASPECTS after stent-retriever embolectomyfor acute anterior circulation stroke[J]. AJNR Am JNeuroradiol,2016,37(6):1080-1085.[27] LEES K R,BLUHMKI E,VON KUMMER R,etal. Time to treatment with intravenous alteplase andoutcome in stroke:an updated pooled analysis ofECASS,ATLANTIS,NINDS,and EPITHET trials[J].Lancet,2010,375(9727):1695-1703.[28] ABOU-CHEBL A. Endovascular treatment of acuteischemic stroke may be safely performed with no timewindow limit in appropriately selected patients[J].Stroke,2010,41(9):1996-2000.[29] GONZALEZ R G. Clinical MRI of acute ischemicstroke[J]. J Magn Reson Imaging,2012,36(2):259-271.[30] BORST J,BERKHEMER O A,ROOS Y B,etal. Value of computed tomographic perfusion-basedpatient selection for intra-arterial acute ischemic stroketreatment[J]. Stroke,2015,46(12):3375-3382.[31] HAUSSEN D C,DEHKHARGHANI S,RANGARAJU S,et al. Automated CT perfusionischemic core volume and noncontrast CT ASPECTS(Alberta Stroke Program Early CT Score)[J]. Stroke,2016,47(9):2318-2322.[32] YOO A J,CHAUDHRY Z A,NOGUEIRA R G,etal. Infarct volume is a pivotal biomarker after intraarterialstroke therapy[J]. Stroke,2012,43(5):1323-1330.[33] ADAMS H P,BENDIXEN B H,KAPPELLE L J,etal. Classification of subtype of acute ischemic stroke.Definitions for use in a multicenter clinical trial.TOAST. Trial of Org 10172 in acute stroke treatment[J].Stroke,1993,24(1):35-41.[34] PROTTO S,PIENIMÄKI J P,SEPPÄNEN J,et al.Low cerebral blood volume identifies poor outcome instent retriever thrombectomy[J]. Cardiovasc InterventRadiol,2017,40(4):502-509.[35] HAN M,CHOI J. W,RIM N-J,et al. Cerebral infarctvolume measurements to improve patient selection forendovascular treatment[J]. Medicine,2016,95(35):e4702.[36] HAO Y H,YANG D,WANG H,et al. Predictorsfor symptomatic intracranial hemorrhage afterendovascular treatment of acute ischemic stroke[J].Stroke,2017,48(5):1203-1209.[37] REBELLO L C,BOUSLAMA M,HAUSSEN DC,et al. Endovascular treatment for patients withacute stroke who have a large ischemic core and largemismatch imaging profile[J]. JAMA Neurol,2017,74(1):34-40.[38] YOO A J,BERKHEMER O A,FRANSEN P S S,etal. Effect of baseline Alberta Stroke Program Early CTScore on safety and efficacy of intra-arterial treatment:a subgroup analysis of a randomised phase 3 trial(MRCLEAN)[J]. Lancet Neurol,2016,15(7):685-694.[39] DESILLES J P,CONSOLI A,REDJEM H,et al.Successful reperfusion with mechanical thrombectomyis associated with reduced disability and mortality inpatients with pretreatment diffusion-weighted imaging-Alberta stroke program early computed tomographyscore ≤6[J]. Stroke,2017,48(4):963-969.[40] MANCEAU P F,SOIZE S,GAWLITZA M,et al.Is there a benefit of mechanical thrombectomy inpatients with large stroke(DWI-ASPECTS≤5)?[J/OL].Eur J Neurol,(2017-9-14). http://dx.doi.org/10.1111/ene.13460.[41] LENG X,FANG H,LEUNG T W,et al. Impact ofcollateral status on successful revascularization inendovascular treatment: a systematic review and metaanalysis[J]. Cerebrovasc Dis,2016,41(1-2):27-34.[42] MENON B K,SMITH E E,MODI J,et al. Regionalleptomeningeal score on CT angiography predictsclinical and imaging outcomes in patients withacute anterior circulation occlusions[J]. AJNR Am JNeuroradiol,2011,32(9):1640-1645.[43] LIU L P,XU A D,WONG L K,et al. Chineseconsensus statement on the evaluation and interventionof collateral circulation for ischemic stroke[J]. CNSNeurosci Ther,2014,20(3):202-208.[44] POWER S,MCEVOY S H,CUNNINGHAM J,et al.Value of CT angiography in anterior circulation largevessel occlusive stroke:imaging findings,pearls,andpitfalls[J]. Eur J Radiol,2015,84(7):1333-1344.[45] MCVERRY F,LIEBESKIND D S,MUIR KW. Systematic review of methods for assessingleptomeningeal collateral flow[J]. AJNR Am JNeuroradiol,2012,33(3):576-582.[46] MENON B K,O'BRIEN B,BIVARD A,et al.Assessment of leptomeningeal collaterals usingdynamic CT angiography in patients with acuteischemic stroke[J]. J Cereb Blood Flow Metab,2013,33(3):365-371.[47] KIM S J,NOH H J,YOON C W,et al. Multiphasicperfusion computed tomography as a predictor ofcollateral flow in acute ischemic stroke:comparisonwith digital subtraction angiography[J]. Eur Neurol,2012,67(4):252-255.[48] BANG O Y,GOYAL M,LIEBESKIND D S. Collateralcirculation in ischemic stroke:assessment tools andtherapeutic strategies[J]. Stroke,2015,46(11):3302-3309.[49] MENON B K,D'ESTERRE C D,QAZI E M,etal. Multiphase CT angiography:a new tool for theimaging triage of patients with acute ischemic stroke[J].Radiology,2015,275(2):510-520.[50] BRUNNER F,TOMANDL B,HANKEN K,et al.Impact of collateral circulation on early outcome andrisk of hemorrhagic complications after systemicthrombolysis[J]. Int J Stroke,2014,9(8):992-998.[51] BEYER S E,THIERFELDER K M,VONBAUMGARTEN L,et al. Strategies of collateral bloodflow assessment in ischemic stroke:prediction of thefollow-up infarct volume in conventional and dynamicCTA[J]. AJNR Am J Neuroradiol,2015,36(3):488-494.[52] FROLICH A M,WOLFF S L,PSYCHOGIOS M N,etal. Time-resolved assessment of collateral flow using4D CT angiography in large-vessel occlusion stroke[J].Eur Radiol,2014,24(2):390-396.[53] SMIT E J,VONKEN E J,VAN SEETERS T,et al.Timing-invariant imaging of collateral vessels in acuteischemic stroke[J]. Stroke,2013,44(8):2194-2199.[54] SEKER F,POTRECK A,MÖHLENBRUCH M,et al.Comparison of four different collateral scores in acuteischemic stroke by CT angiography[J]. J NeurointervSurg,2016,8(11):1116-1118.[55] BIVARD A,LEVI C,SPRATT N,et al. Perfusion CTin acute stroke:a comprehensive analysis of infarctand penumbra[J]. Radiology,2013,267(2):543-550. [56] STOLZ E,MENDES I,GERRIETS T,et al.Assessment of intracranial collateral flow bytranscranial color-coded duplex sonography usinga temporal and frontal axial insonation plane[J]. JNeuroimaging,2002,12(2):136-143.[57] KORTMAN H G,SMIT E J,OEI M T,et al. 4D-CTAin neurovascular disease:a review[J]. AJNR Am JNeuroradiol,2015,36(6):1026-1033.[58] HIGASHIDA R T,FURLAN A J,ROBERTS H,et al.Trial design and reporting standards for intra-arterialcerebral thrombolysis for acute ischemic stroke[J].Stroke,2003,34(8):e109-e137.[59] ASTRUP J,SIESJO B K,SYMON L. Thresholds incerebral ischemia - the ischemic penumbra[J]. Stroke,1981,12(6):723-725.[60] ROTHER J. Imaging-guided extension of the timewindow:ready for application in experienced strokecenters?[J]. Stroke,2003,34(2):582-583.[61] SCHELLINGER P D,FIEBACH J B,HACKE W.Imaging-based decision making in thrombolytictherapy for ischemic stroke:present status[J]. Stroke,2003,34(2):575-582.[62] WINTERMARK M,FLANDERS A E,VELTHUISB,et al. Perfusion-CT assessment of infarct coreand penumbra:receiver operating characteristiccurve analysis in 130 patients suspected of acutehemispheric stroke[J]. Stroke,2006,37(4):979-985.[63] SASAKI M,KUDO K,OGASAWARA K,etal. Tracer delay-insensitive algorithm canimprove reliability of CT perfusion imaging forcerebrovascular steno-occlusive disease:comparisonwith quantitative single-photon emission CT[J]. AJNRAm J Neuroradiol,2009,30(1):188-193.[64] KLOTZ E,KONIG M. Perfusion measurementsof the brain:using dynamic ct for the quantitativeassessment of cerebral ischemia in acute stroke[J]. EurJ Radiol,1999,30(3):170-184.[65] KOENIG M,KLOTZ E,LUKA B,et al. PerfusionCT of the brain:diagnostic approach for earlydetection of ischemic stroke[J]. Radiology,1998,209(1):85-93.[66] EASTWOOD J D,LEV M H,WINTERMARK M,et al. Correlation of early dynamic CT perfusionimaging with whole-brain MR diffusion and perfusionimaging in acute hemispheric stroke[J]. AJNR Am JNeuroradiol,2003,24(9):1869-1875.[67] WINTERMARK M,FISCHBEIN N J,SMITH WS,et al. Accuracy of dynamic perfusion CT withdeconvolution in detecting acute hemisphericstroke[J]. AJNR Am J Neuroradiol,2005,26(1):104-112.[68] WINTERMARK M,REICHHART M,THIRAN JP,et al. Prognostic accuracy of cerebral blood flowmeasurement by perfusion computed tomography,atthe time of emergency room admission,in acutestroke patients[J]. Ann Neurol,2002,51(4):417-432.[69] MUIR K W,HALBERT H M,BAIRD T A,et al.Visual evaluation of perfusion computed tomographyin acute stroke accurately estimates infarct volumeand tissue viability[J]. J Neurol Neurosurg Psychiatry,2006,77(3):334-339.[70] KAMEDAK,UNO J,OTSUJI R,et al. Optimalthresholds for ischemic penumbra predicted bycomputed tomography perfusion in patients withacute ischemic stroke treated with mechanicalthrombectomy[J/OL]. J Neurointerv Surg,(2017-6-9). http://dx.doi.org/10.1136/neurintsurg-2017-013083.[71] PACIARONI M,CASO V,AGNELLI G. The conceptof ischemic penumbra in acute stroke and therapeuticopportunities[J]. Eur Neurol,2009,61(6):321-330.[72] PARSONS M,SPRATT N,BIVARD A,et al. Arandomized trial of tenecteplase versus alteplase foracute ischemic stroke[J]. N Engl J Med,2012,366(12):1099-1107.[73] KAESEMANN P,THOMALLA G,CHENG B,etal. Impact of severe extracranial ica stenosis on mriperfusion and diffusion parameters in acute ischemicstroke[J/OL]. Front Neurol,(2014-12-05). https://doi.org/10.3389/fneur.2014.00254.[74] WOUTERS A,LEMMENS R,DUPONT P,etal. Wake-up stroke and stroke of unknown onset:acritical review[J/OL]. Front Neurol,(2014-8-12).https://doi.org/10.3389/fneur.2014.00153.[75] HACKE W,FURLAN A J,AL-RAWI Y,et al.Intravenous desmoteplase in patients with acuteischaemic stroke selected by MRI perfusion-diffusionweighted imaging or perfusion CT(DIAS-2):aprospective,randomised,double-blind,placebocontrolledstudy[J]. Lancet Neurol,2009,8(2):141-150.[76] LANSBERG M G,THIJS V N,BAMMER R,etal. The MRA-DWI mismatch identifies patients withstroke who are likely to benefit from reperfusion[J].Stroke,2008,39(9):2491-2496.[77] LEGRAND L,TISSERAND M,TURC G,etal. Fluid-Attenuated inversion recovery vascularhyperintensities-diffusion-weighted imagingmismatch identifies acute stroke patients most likelyto benefit from recanalization[J]. Stroke,2016,47(2):424-427. |
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