[1]于丰萁,洪波,刘建民.穿支卒中与颅内动脉狭窄支架成形术[J].介入放射学杂志,2007,(12):858.
YU Feng-qi,HONG Bo,LIU Jian-min.Perforator stroke and stenting of intracranial arterial stenosis[J].journal interventional radiology,2007,(12):858.
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穿支卒中与颅内动脉狭窄支架成形术()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2007年12期
- 页码:
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858
- 栏目:
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综述
- 出版日期:
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2007-12-15
文章信息/Info
- Title:
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Perforator stroke and stenting of intracranial arterial stenosis
- 作者:
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于丰萁; 洪波; 刘建民
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200433上海第二军医大学长海医院神经外科
- Author(s):
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YU Feng-qi; HONG Bo; LIU Jian-min.
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Department of Neurosurgery,Cerebrovascular Institute of Changhai Hospital,Second Military Medical University,Shanghai200433,China
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- 关键词:
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穿支卒中; 雪梨效应; 封堵作用; 支架; 临近狭窄部位穿支梗死
- 分类号:
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R743.32
- 文献标志码:
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A
- 摘要:
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穿支卒中(PS)是颅内动脉狭窄支架成形术的一种并发症。颅内动脉存在较多的穿支动脉,其闭塞可能导致致命性后果。根据冠脉血管的临床研究,目前对PS的机制有3种推论:雪梨效应、支架封堵作用和血管内膜增生,并且在动物实验中也观察到了这3类现象。各治疗中心在治疗颅内动脉狭窄的同时已经对PS有所探讨。术前MRI提示患者存在临近狭窄部位穿支梗死(PIAS)使得发生PS的风险增加。易发生PS患者的特点还包括了狭窄的形态、部位、成因以及手术术式和手术器材选择。对于PS的预防仍然任重道远,而随着研究的深入,PS的机制也将逐步阐明。
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备注/Memo
- 备注/Memo:
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收稿日期:2007-04-24
更新日期/Last Update:
2007-12-15