[1]程 佳,管 生,刘 朝,等.3D-SPACE MRI对后循环颅内段不同支架的随访评价[J].介入放射学杂志,2019,28(10):923-927.
 CHENG Jia,GUAN Sheng,LIU Chao,et al.Application of 3D- SPACE MRI in evaluating in- stent restenosis degree after implantation of different stents in posterior circulation intracranial segment[J].journal interventional radiology,2019,28(10):923-927.
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3D-SPACE MRI对后循环颅内段不同支架的随访评价()

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

卷:
28
期数:
2019年10期
页码:
923-927
栏目:
神经介入
出版日期:
2019-10-25

文章信息/Info

Title:
Application of 3D- SPACE MRI in evaluating in- stent restenosis degree after implantation of different stents in posterior circulation intracranial segment
作者:
程 佳 管 生 刘 朝 谢珊珊 程敬亮 徐浩文
Author(s):
CHENG Jia GUAN Sheng LIU Chao XIE Shanshan CHENG Jingliang XU Haowen.
Department of Interventional Neurology, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan Province 450052, China
关键词:
【关键词】 3D- SPACE MRI Neuroform支架 Enterprise支架 Solitaire支架 支架内再狭窄
文献标志码:
A
摘要:
【摘要】 目的 初步探讨三维可变翻转角快速自旋回波序列(3D-SPACE) MRI对后循环颅内段支架植入术后支架内再狭窄(ISR)程度的随访价值。 方法 回顾性分析2017年4月至2018年10月郑州大学第一附属医院收治的20例后循环颅内段Neuroform、Enterprise、Solitaire等3种支架植入术后接受DSA和3D- SPACE MRI随访患者临床资料。评价不同支架3D-SPACE MRI所示ISR程度图像质量,并与DSA检查结果作对比,进而展示其随访价值。 结果 20例患者中植入Neuroform支架16例、Enterprise支架 3例、Solitaire支架1例,DSA证实ISR 8例(Neuroform支架5例,Enterprise支架2例,Solitaire支架1例)。3D-SPACE MRI图像质量分析显示,Solitaire 支架近端可见明显磁敏感伪影,Neuroform和Enterprise支架成像质量良好。3D-SPACE MRI所检测Neuroform支架ISR狭窄程度与DSA一致性较高。8例ISR患者图像分析显示,2例Neuroform支架3D- SPACE MRI强化范围大于DSA,6例强化范围与DSA一致;5例Neuroform支架中3例3D- SPACE MRI表现为弥漫性强化。结论 3D-SPACE MRI可用于后循环颅内段Neuroform、Enterprise支架植入术后随访。其管壁强化规律及临床指导价值尚需进一步研究,Solitaire支架评估还需更大样本量研究。

参考文献/References:

[1] Wong LK . Global burden of intracranial atherosclerosis[J]. Int J Stroke, 2006, 1:158-159.
[2] Suh DC, Kim JK, Choi JW, et al. Intracranial stenting of severe symptomatic intracranial stenosis: results of 100 consecutive patients[J]. AJNR Am J Neuroradiol, 2008, 29:781-785.
[3] Derdeyn CP, Fiorella D, Lynn MJ, et al. Nonprocedural symptomatic infarction and in- stent restenosis after intracranial angioplasty and stenting in the SAMMPRIS trial(Stenting and Aggressive Medical Management for the Prevention of Recurrent Stroke in Intracranial Stenosis)[J]. Stroke, 2017, 48:1501-1506.
[4] Golshani B, Lazzaro MA, Raslau F, et al. Surveillance imaging after intracranial stent implantation: non- invasive imaging compared with digital subtraction angiography[J]. J Neurointerv Surg, 2013, 5: 361- 365.
[5] 高 鹏, 杨 旗, 王亚冰,等. 颅内大动脉狭窄患者Wingspan支架置入前后高分辨率核磁共振影像的变化[J]. 中国脑血管病杂志, 2017, 14:356- 362.
[6] Chimowitz MI, Kokkinos J, Strong J, et al. The warfarin- aspirin symptomatic intracranial disease study[J]. Neurology, 1995, 45:1488-1493.
[7] Pan J, Lu Z, Zhang J, et al. Angiographic patterns of in- stent restenosis classified by computed tomography in patients with drug- eluting stents: correlation with invasive coronary angiography[J]. Eur Radiol, 2013, 23:101-107.
[8] Xiong Y, Zhou Z, Lin H, et al. The safety and long- term outcomes of angioplasty and stenting in symptomatic intracranial atherosclerotic stenosis[J]. Int J Cardiol, 2015, 179:23-24.
[9] Jukema JW, Verschuren JJ, Ahmed TA, et al. Restenosis after PCI. Part 1: pathophysiology and risk factors[J]. Nat Rev Cardiol, 2011, 9: 53- 62.
[10] 谢珊珊, 程敬亮, 张 勇, 等. 三种方法诊断大脑中动脉狭窄的对照研究[J]. 介入放射学杂志, 2014, 23:96- 99.
[11] Wang Y, Truong TN, Yen C, et al. Quantitative evaluation of susceptibility and shielding effects of nitinol, platinum, cobalt- alloy, and stainless steel stents[J]. Magn Reson Med, 2003, 49: 972- 976.
[12] Adams GJ, Baltazar U, Bordelon C, et al. Comparison of 15 different stents in superficial femoral arteries by high resolution MRI ex vivo and in vivo[J]. J Magn Reson Imaging, 2005, 22:125-135.
[13] Zhao H, Wang J, Liu X, et al. Assessment of carotid artery atherosclerotic disease by using three-dimensional fast black-blood mr imaging: comparison with DSA[J]. Radiology, 2015, 274:508- 516.
[14] Dai Z, Xu G. Restenosis after carotid artery stenting[J]. Vascular, 2017, 25:576-586.
[15] Krischek O, Miloslavski E, Fischer S, et al. A comparison of functional and physical properties of self- expanding intracranial stents[Neuroform3, Wingspan, Solitaire, Leo+, Enterprise][J]. Minim Invasive Neurosurg, 2011, 54:21-28.

备注/Memo

备注/Memo:
(收稿日期:2018-10-15)
(本文编辑:边 佶)
更新日期/Last Update: 2019-10-17