[1]方 淳,刘晓晟,孙文萍,等.首发和复发急性缺血性脑卒中患者颈动脉斑块的磁共振成像对比研究[J].介入放射学杂志,2014,(03):191-194.
　FANG Chun,LIU Xiao? sheng,SUN Wen? ping,et al. High?蛳 resolution black?蛳 blood MRI findings of carotid atherosclerotic plaque in initial and recurrent acute ischemic stroke： a comparison study[J].journal interventional radiology,2014,(03):191-194.
点击复制

首发和复发急性缺血性脑卒中患者颈动脉斑块的磁共振成像对比研究 ()

PDF下载中关闭

分享到：

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2014年03期
页码:
191-194
栏目:
神经介入
出版日期:
2014-03-25

文章信息/Info

Title:
 High?蛳 resolution black?蛳 blood MRI findings of carotid atherosclerotic plaque in initial and recurrent acute ischemic stroke： a comparison study
作者:
方 淳;  刘晓晟;  孙文萍;  刘传森;  肖亚平
Author(s):
FANG Chun;  LIU Xiao?蛳 sheng;  SUN Wen?蛳 ping;  LIU Chuan?蛳 sen;  XIAO Ya?蛳 ping.
Department of Interventional Radiology， Affiliated East Hospital， Tongji University， Shanghai 200120， China
关键词:
 ; 【关键词】 颈动脉斑块;  急性缺血性脑卒中;  磁共振成像
文献标志码:
A
摘要:
 【摘要】 目的 利用磁共振成像（MRI）技术比较首发和复发急性缺血性脑卒中患者颈动脉粥样硬化斑块的特征。方法 2009年8月—2010年11月对89例近期急性缺血性脑卒中患者行颈动脉高分辨MRI黑血成像，其中51例为首发，38例为复发。对脑卒中同侧的责任颈动脉进行分析，对比初发及复发性缺血性脑卒中患者动脉斑块负荷及成分的差别。结果 与初发患者相比，复发患者的平均壁面积（WA）、壁厚度（WT）及平均壁体积（PWV）较大，组间差异有统计学意义（P < 0.05）；钙化比例高（44.7%比23.5%，P = 0.035），脂质坏死核心（LRNC） 更丰富［（179.14 ± 254.81） mm3比（71.65 ± 111.15） mm3，P = 0.027］。在复发患者与首发患者中，斑块内出血（IPH）、纤维帽破裂或者两者都发生的比例分别为15.8%和3.9%。结论 复发患者颈动脉斑块较初发患者有显著进展，利用MRI监测初发患者的斑块情况有利于防治脑卒中的再次发生。

参考文献/References:

［1］ Roger VL， Go AS， Lloyd?蛳 Jones DM， et al. Heart disease and stroke statistics—2011 update： a report from the American Heart Association［J］. Circulation， 2011， 123： e18 ?蛳 e209.
［2］ Zhao X， Underhill HR， Zhao Q， et al. Discriminating carotid atherosclerotic lesion severity by luminal stenosis and plaque burden： a comparison utilizing high?蛳 resolution magnetic reson?蛳 ance imaging at 3.0 Tesla. ［J］. Stroke， 2011， 42： 347 ?蛳 353.
［3］ Cai JM， Hatsukami TS， Ferguson MS， et al. Classification of human carotid atherosclerotic lesions with in vivo multicontrast magnetic resonance imaging［J］. Circulation， 2002， 106： 1368 ?蛳 1373.
［4］ Leoo T， Lindgren A， Petersson J， et al. Risk factors and treatment at recurrent stroke onset： results from the Recurrent Stroke Quality and Epidemiology（RESQUE） Study［J］. Cerebrovasc Dis， 2008， 25： 254 ?蛳 260.
［5］ van Lammeren GW， Reichmann BL， Moll FL， et al. Atherosclerotic plaque vulnerability as an explanation for the increased risk of stroke in elderly undergoing carotid artery stenting［J］. Stroke， 2011， 42： 2550 ?蛳 2555.
［6］ 王晓刚， 周定标， 蔡剑鸣， 等． 颈动脉粥样硬化斑块成分的磁共振影像学分析［J］. 中国微侵袭神经外科杂志， 2008， 13： 260 ?蛳 262．
［7］ Zhao X， Zhao Q， Chu B， et al. Prevalence of compositional features in subclinical carotid atherosclerosis determined by high?蛳 resolution magnetic resonance imaging in Chinese patients with coronary artery disease［J］. Stroke， 2010， 41： 1157 ?蛳 1162.
［8］ Wattanakit K， Folsom AR， Chambless LE， et al. Risk factors for cardiovascular event recurrence in the Atherosclerosis Risk in Communities（ARIC）study［J］. Am Heart J， 2005， 149： 606 ?蛳 612.
［9］ Kwee RM. Systematic review on the association between calcification in carotid plaques and clinical ischemic symptoms［J］. J Vasc Surg， 2010， 51： 1015 ?蛳 1025.
［10］ Xu X， Ju H， Cai J， et al. High?蛳 resolution Mr study of the relationship between superficial calcification and the stability of carotid atherosclerotic plaque［J］. Int J Cardiovasc Imaging， 2010， 26 Suppl 1： 143 ?蛳 150.
［11］ Underhill HR， Yuan C， Yarnykh VL， et al. Predictors of surface disruption with Mr imaging in asymptomatic carotid artery stenosis［J］. Am J Neuroradiol， 2010， 31： 487 ?蛳 493.
［12］ Underhill HR， Yuan C， Zhao XQ， et al. Effect of rosuvastatin therapy on carotid patients： a high?蛳 resolution magnetic resonance imaging trial［J］. Am Heart J， 2008， 155： 584.e1 ?蛳 8.
［13］ Altaf N， MacSweeney ST， Gladman J， et al. Carotid intraplaque hemorrhage predicts recurrent symptoms in patients with high?蛳 grade carotid stenosis［J］. Stroke， 2007， 38： 1633 ?蛳 1635.

相似文献/References:

[1].Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury ：case report and literature review[J].介入放射学杂志,2007,(10):718.
　ZHANG He,LI Ming-hua,WANG Chun,et al.Spontaneous regression of a giant basilar artery aneurysm in a young adult after surgical injury ：case report and literature review[J].journal interventional radiology,2007,(03):718.
[2]李统怀,郑红枫. 子宫动脉栓塞治疗子宫瘢痕妊娠１１例[J].介入放射学杂志,2011,(11):898.
　LI Tong-huai,ZHENG Hong-feng..Clinical application of uterine artery embolization in treating uterine scar pregnancy[J].journal interventional radiology,2011,(03):898.
[3]吕维富,张爱武,周春泽,等. 子宫动脉的三维DSA表现及其最佳显示体位探讨[J].介入放射学杂志,2011,(11):853.
　LV Wei-fu,ZHANG Ai-wu,ZHOU Chun-ze,et al.3D-DSA findings of uterine artery and its optimal projection position[J].journal interventional radiology,2011,(03):853.
[4]张 靖,周少毅,陈昆山,等.经导管动脉硬化栓塞联合注射硬化治疗婴儿颌面部巨大高流量血管瘤[J].介入放射学杂志,2011,(11):848.
　ZHANG Jing,ZHOU Shao-yi,CHEN Kun-shan,et al.Transcatheter arterial sclerosing embolization with injection sclerotherapy for the treatment of huge and high-flow maxillofacial hemangiomas in infants[J].journal interventional radiology,2011,(03):848.
[5]谢小西,吕银祥,章宏欣,等. 肝动脉化疗栓塞、射频消融联合１２５Ⅰ粒子植入 治疗原发性肝癌的临床应用[J].介入放射学杂志,2011,(11):863.
　XIE Xiao-xi,LV Yin-xiang,ZHANG Hong-xin,et al.The clinical application of TACE together with RFA and 125Ⅰ seed implantation in treating hepatocellular carcinoma[J].journal interventional radiology,2011,(03):863.
[6]王铭义,王 峰. 脑灌注成像在颈动脉狭窄介入治疗中的应用[J].介入放射学杂志,2011,(11):915.
　WANG Ming-yi,WANG Feng..Application of brain perfusion imaging in interventional treatment of carotid artery stenosis[J].journal interventional radiology,2011,(03):915.
[7]杜 猛,张锦生. 介入治疗急性深静脉血栓的临床观察[J].介入放射学杂志,2011,(11):858.
　DU Meng,ZHANG Jing-sheng..Interventional therapy for acute deep venous thrombosis: a clinical observation[J].journal interventional radiology,2011,(03):858.
[8]孟庆娜,李国庆,白晓冬. 急性心肌梗死介入治疗术中恶心呕吐的护理[J].介入放射学杂志,2011,(11):913.
　MENG Qing-na,LI Guo-qing,BAI Xiao-dong..The nursing care of nausea and vomiting occurred in interventional treatment for acute myocardial infarction[J].journal interventional radiology,2011,(03):913.
[9]王海亭,蒋忠仆,周 毅,等. 透视引导下鱼肝油酸钠泡沫硬化剂治疗下肢静脉曲张３０例[J].介入放射学杂志,2011,(11):905.
　WANG Hai-ting,JIANG Zhong-pu,ZHOU Yi,et al.Fluoroscopically-guided foam sclerotherapy with sodium morrhuate for the treatment of lower extremity varices[J].journal interventional radiology,2011,(03):905.
[10]杜 鲲,管 生,胡小波,等. 原发性肝癌ＴＡＣＥ术后完全缓解病灶磁共振 ＡＤＣ值可重复性及一致性研究[J].介入放射学杂志,2011,(11):867.
　DU Kun,GUAN Sheng,HU Xiao-bo,et al.Magnetic resonance apparent diffusion coefficient values of the completely remitted lesions of primary hepatocellular carcinoma after TACE: a study of their repeatability and consistency[J].journal interventional radiology,2011,(03):867.

备注/Memo

备注/Memo:
 （收稿日期：２０１3-０7-28）
更新日期/Last Update: