切换至 "中华医学电子期刊资源库"

中华介入放射学电子杂志 ›› 2022, Vol. 10 ›› Issue (02) : 196 -201. doi: 10.3877/cma.j.issn.2095-5782.2022.02.013

综述

急性缺血性脑卒中柔脑膜侧支循环的评估方法
梁欣1, 刘兰祥1,()   
  1. 1. 066000 河北秦皇岛,承德医学院附属秦皇岛市第一医院放射科
  • 收稿日期:2021-07-09 出版日期:2022-05-25
  • 通信作者: 刘兰祥
  • 基金资助:
    国家自然科学基金(81871029)

Evaluation methods of leptomeningeal collateral circulation in patients with acute ischemic stroke

Xin Liang1, Lanxiang Liu1,()   

  1. 1. Department of Radiology, the First Hospital of Qinhuangdao Affiliated to Chengde Medical University, Hebei Qinhuangdao 066000, China
  • Received:2021-07-09 Published:2022-05-25
  • Corresponding author: Lanxiang Liu
引用本文:

梁欣, 刘兰祥. 急性缺血性脑卒中柔脑膜侧支循环的评估方法[J]. 中华介入放射学电子杂志, 2022, 10(02): 196-201.

Xin Liang, Lanxiang Liu. Evaluation methods of leptomeningeal collateral circulation in patients with acute ischemic stroke[J]. Chinese Journal of Interventional Radiology(Electronic Edition), 2022, 10(02): 196-201.

急性缺血性脑卒中是最常见的脑血管疾病,具有高死亡率和高复发率的特点,严重危害人类健康。多项研究表明,缺血性脑卒中后柔脑膜脉络侧支化是卒中预后的一个强有力的预测指标。即侧支循环良好的患者临床预后好,反之则较差。近年来,不少国内外学者就侧支循环的形成机制、影像学评估等进行了深入研究。文章围绕侧支循环对神经影像学的多种评估方法进行了综述。

Acute ischemic stroke is the most common cerebrovascular disease, which is characterized by high mortality and high recurrence rate, and seriously endangers human health. Multiple studies have shown that the lateral branching of the leptomeningeal after ischemic stroke is a strong predictor of the prognosis of ischemic stroke. In other words, patients with good collateral circulation have a good clinical prognosis, while those with poor collateral circulation have a bad clinical prognosis. In recent years, many scholars at home and abroad have conducted in-depth studies on the formation mechanism and imaging evaluation of collateral circulation.In this review, several methods of neuroimaging assessment around collateral circulation are reviewed as follows.

[1]
Jansen I, Berkhemer O, Yoo A, et al. Comparison of CTA- and DSA-based collateral flow assessment in patients with anterior circulation stroke[J]. AJNR Am J Neuroradiol, 2016, 37(11): 2037-2042.
[2]
Okyere B, Mills W, Wang X, et al. EphA4/Tie2 crosstalk regulates leptomeningeal collateral remodeling following ischemic stroke[J]. J Clin Invest, 2020, 130(2): 1024-1035.
[3]
王柳仙, 娄昕. 颅内动脉前向血流与侧支循环的影像评估[J]. 中国卒中杂志, 2020, 15(10): 1048-1051.
[4]
尚凯, 张晓星, 魏小二, 等. 毛细血管指数评分在CTA评估急性缺血性卒中侧支循环和预后中的应用[J]. 介入放射学杂志, 2019, 28(10): 930-933.
[5]
Labeyrie P, Redjem H, Blanc R, et al. The capillary index score before thrombectomy: an angiographic correlate of favorable outcome[J]. J Neurointerv Surg, 2016, 8(11): 1119-1122.
[6]
Menon B, Smith E, Modi J, et al. Regional leptomeningeal score on CT angiography predicts clinical and imaging outcomes in patients with acute anterior circulation occlusions[J]. AJNR Am J Neuroradiol, 2011, 32(9): 1640-1645.
[7]
Liu Z, Han C, Wang H, et al. Clinical characteristics and leptomeningeal collateral status in pediatric and adult patients with ischemic moyamoya disease[J]. CNS Neurosci Ther, 2020, 26(1): 14-20.
[8]
Antunes D, Castro-Afonso L, Zanon Z, et al. Collateral scores and outcomes after endovascular treatment for basilar artery occlusion[J]. Cerebrovasc Dis, 2019, 47(5-6): 285-290.
[9]
Menon B, d'Esterre C, Qazi E, et al. Multiphase CT angiography: a new tool for the imaging triage of patients with acute ischemic stroke[J]. Radiology, 2015, 275(2): 510-520.
[10]
Nambiar V, Sohn S, Almekhlafi M, et al. CTA collateral status and response to recanalization in patients with acute ischemic stroke[J]. AJNR Am J Neuroradiol, 2014, 35(5): 884-890.
[11]
Park J, Kwak H, Chung G, et al. The prognostic value of CT-angiographic parameters after reperfusion therapy in acute ischemic stroke patients with internal carotid artery terminus occlusion: Leptomeningeal collateral status and clot burden score[J]. J Stroke Cerebrovasc Dis, 2018, 27(10): 2797-2803.
[12]
Lima F, Furie K, Silva G, et al. The pattern of leptomeningeal collaterals on CT angiography is a strong predictor of long-term functional outcome in stroke patients with large vessel intracranial occlusion[J]. Stroke, 2010, 41(10): 2316-2322.
[13]
Tan B, Wan-Yee K, Paliwal P, et al. Good intracranial collaterals trump poor aspects(alberta stroke program early CT score) for intravenous thrombolysis in anterior circulation acute ischemic stroke[J]. Stroke, 2016, 47(9): 2292-2298.
[14]
Byrne D, Sugrue G, Stanley E, et al. Improved detection of anterior circulation occlusions: the "delayed vessel sign" on multiphase CT angiography[J]. AJNR Am J Neuroradiol,2017, 38(10): 1911-1916.
[15]
Menon B, O'Brien B, Bivard A, et al. Assessment of leptomeningeal collaterals using dynamic CT angiography in patients with acute ischemic stroke[J]. J Cereb Blood Flow Metab, 2013, 33(3): 365-371.
[16]
Nannoni S, Sirimarco G, Cereda CW, et al. Determining factors of better leptomeningeal collaterals: a study of 857 consecutive acute ischemic stroke patients[J]. J Neurol, 2019, 266(3): 582-588.
[17]
Liebeskind D, Tomsick T, Foster L, et al. Collaterals at angiography and outcomes in the interventional management of stroke (ims) Ⅲ trial[J]. Stroke, 2014, 45(3): 759-764.
[18]
Ahn S, Suh S, Lee K, et al. Hyperintense vessels on T2-propeller-flair in patients with acute MCA stroke: prediction of arterial stenosis and perfusion abnormality[J]. AJNR Am J Neuroradiol, 2015, 36(11): 2042-2047.
[19]
祁宇, 薛静, 高培毅. 急性缺血性卒中侧支循环建立的影像学评估[J]. 临床荟萃, 2017, 32(9): 742-746.
[20]
Lee KY, Suh SH, Ahn SJ. Significance of hyperintense arteries on Gd-enhanced 3D T1W black-blood imaging in acute stroke[J]. Eur Radiol, 2019, 29(3): 1329-1337.
[21]
McVerry F, Liebeskind D, Muir K. Systematic review of methods for assessing leptomeningeal collateral flow[J]. AJNR Am J Neuroradiol,2012,33(3):576-582.
[22]
王盛磊, 朱幼玲, 唐敏, 等. 液体衰减反转恢复序列高信号征联合灌注加权成像对急性前循环脑梗死的预后评估[J]. 中华老年心脑血管病杂志, 2019, 21(10): 1023-1027.
[23]
Kanoke A, Akamatsu Y, Nishijima Y, et al. The impact of native leptomeningeal collateralization on rapid blood flow recruitment following ischemic stroke[J]. J Cereb Blood Flow Metab, 2020, 40(11): 2165-2178.
[24]
Dezhi L, MD, Fabien S, et al. FLAIR vascular hyperintensity topography, novel imaging marker for revascularization in middle cerebral artery occlusion[J]. Stroke, 2016, 47(11): 2763-2769.
[25]
Jiang L, Chen Y, Zhang H, et al. FLAIR vascular hyperintensity in acute stroke is associated with collateralization and functional outcome[J]. Eur Radiol, 2019, 29(9): 4879-4888.
[26]
Dong X, Nao J. Fluid-attenuated inversion recovery vascular hyperintensities in anterior circulation acute ischemic stroke: associations with cortical brain infarct volume and 90-day prognosis[J]. Neurol Sci, 2019, 40(8): 1675-1682.
[27]
Tsushima Y, Endo K. Significance of hyperintense vessels on flair MRI in acute stroke[J]. Neurology, 2001, 56(9): 1248-1249.
[28]
Nam K, Kwon H, Park S, et al. Distal hyperintense vessel sign is associated with neurological deterioration in acute ischaemic stroke[J]. Eur J Neurol, 2017, 24(4): 617-623.
[29]
Havsteen I, Willer L, Ovesen C,et al. Significance of arterial spin labeling perfusion and susceptibility weighted imaging changes in patients with transient ischemic attack: a prospective cohort study[J]. BMC Med Imaging, 2018, 18(1): 24.
[30]
Seiler A, Lauer A, Deichmann R, et al. Signal variance-based collateral index in DSC perfusion: a novel method to assess leptomeningeal collateralization in acute ischaemic stroke[J]. J Cereb Blood Flow Metab, 2020, 40(3): 574-587.
[31]
Bang O, Saver J, Kim S, et al. Collateral flow predicts response to endovascular therapy for acute ischemic stroke[J]. Stroke, 2011, 42(3): 693-699.
[32]
张渺娜, 闫呈新. 急性缺血性脑卒中侧支循环的影像学研究进展[J]. 中国继续医学教育, 2020, 12(13): 82-85.
[33]
Fahlström M, Lewén A, Enblad P, et al. High intravascular signal arterial transit time artifacts have negligible effects on cerebral blood flow and cerebrovascular reserve capacity measurement using single postlabel delay arterial spin-labeling in patients with moyamoya disease[J]. AJNR Am J Neuroradiol, 2020, 41(3): 430-436.
[34]
周建国, 孟云, 马先军, 等. 动脉内穿行伪影对急性脑梗死灌注评估的临床应用价值[J]. 实用医学杂志, 2017, 33(7): 1047-1049.
[35]
Lou X, Yu S, Scalzo F, et al. Multi-delay ASL can identify leptomeningeal collateral perfusion in endovascular therapy of ischemic stroke[J]. Oncotarget, 2017, 8(2): 2437-2443.
[36]
Yang L, Luo S. Clinical application of susceptibility-weighted imaging in the evaluation of leptomeningeal collateralization[J]. Medicine (Baltimore), 2018, 97(51): e13345.
[37]
许开喜, 马先军, 陈新建, 等. SWI对脑梗死侧支循环的诊断及临床意义[J]. 中国中西医结合影像学杂志, 2016, 14(2): 153-155+159.
[38]
Verma R, Hsieh K, Gratz P, et al. Leptomeningeal collateralization in acute ischemic stroke: impact on prominent cortical veins in susceptibility-weighted imaging[J]. Eur J Radiol, 2014, 83(8): 1448-1454.
[1] 林文, 王雨萱, 许嘉悦, 王矜群, 王睿娜, 何董源, 樊沛. 人工关节置换登记系统的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(06): 834-841.
[2] 卫杨文祥, 黄浩然, 刘予豪, 陈镇秋, 王海彬, 周驰. 股骨头坏死细胞治疗的前景和挑战[J]. 中华关节外科杂志(电子版), 2023, 17(05): 694-700.
[3] 占一姗, 朱友荣, 张守华, 陶强. 急性阑尾炎相关诊断预测模型的研究进展[J]. 中华普通外科学文献(电子版), 2023, 17(02): 151-154.
[4] 王小兵, 邓卓凡, 龚建平. 肝细胞癌自发性破裂出血危险因素及预测模型研究现状[J]. 中华肝脏外科手术学电子杂志, 2023, 12(01): 29-33.
[5] 尚慧娟, 袁晓冬. 机械取栓术后应用依达拉奉右崁醇对急性缺血性脑卒中预后的改善[J]. 中华神经创伤外科电子杂志, 2023, 09(05): 295-301.
[6] 隆昱洲, 柳华, 张云茜, 李兴统, 范云虎, 尚正良, 宋镇妤, 罗丽华. 依达拉奉预适应延长急性缺血性脑卒中溶栓时间窗的研究及ROS/TXNIP/NLRP3通路参与机制的探讨[J]. 中华脑科疾病与康复杂志(电子版), 2023, 13(02): 65-74.
[7] 梁兴森, 高彦平, 李嘉, 李玲, 郑小飞, 王华军. 针灸抗衰老在骨科相关退行性疾病的研究现状[J]. 中华针灸电子杂志, 2023, 12(02): 62-66.
[8] 史亚东, 顾建平. 无症状肺栓塞的诊断与治疗进展[J]. 中华介入放射学电子杂志, 2023, 11(02): 155-158.
[9] 陈静, 逯艳艳, 徐耀东, 马颖才. 联动成像技术在肠道病变中的研究进展[J]. 中华胃肠内镜电子杂志, 2023, 10(03): 195-199.
[10] 桑素娟, 王盈盈, 李丽楠, 刘晓冰, 雷燕妮, 程艳爽. 胃管抽吸物pH测试法用于胃管位置定位的研究进展[J]. 中华胃肠内镜电子杂志, 2023, 10(02): 131-135.
[11] 王擎, 王冠峰, 陈星. 胃食管阀瓣的Hill分级在胃食管反流病中的应用价值[J]. 中华胃肠内镜电子杂志, 2023, 10(02): 125-130.
[12] 王翊钊, 刘阳, 叶淑君, 马连君. 胃食管反流病治疗的研究进展[J]. 中华胃肠内镜电子杂志, 2023, 10(01): 57-61.
[13] 买买提·依斯热依力, 尹强, 尹海龙, 董雨微, 王永康, 克力木·阿不都热依木, 阿吉艾克拜尔·艾萨. 传统医药治疗胃食管反流病的研究进展[J]. 中华胃食管反流病电子杂志, 2023, 10(02): 100-104.
[14] 李昕, 李永凯, 江树青, 夏来百提姑·赛买提, 杨建中. 急性缺血性脑卒中静脉溶栓后出血转化相关危险因素分析[J]. 中华脑血管病杂志(电子版), 2023, 17(04): 331-336.
[15] 李昕, 杨建中. 急性缺血性脑卒中静脉溶栓后出血转化危险因素的研究进展[J]. 中华脑血管病杂志(电子版), 2023, 17(01): 9-15.
阅读次数
全文


摘要