[1]刘文虎,张立功,赵炳一,等.基于DSA的前循环动脉干形态镜像性的观察[J].介入放射学杂志,2024,33(05):472-478.
 LIU Wenhu,ZHANG Ligong,ZAO Bingyi,et al.Observation of morphological mirroring of anterior circulation trunk based on DSA[J].journal interventional radiology,2024,33(05):472-478.
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基于DSA的前循环动脉干形态镜像性的观察()

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

卷:
33
期数:
2024年05
页码:
472-478
栏目:
神经介入
出版日期:
2024-06-03

文章信息/Info

Title:
Observation of morphological mirroring of anterior circulation trunk based on DSA
作者:
刘文虎 张立功 赵炳一 高宗恩
Author(s):
LIU Wenhu ZHANG Ligong ZAO Bingyi GAO Zongen.
Department of Neurology, Shengli Oilfield Central Hospital, Dongying, Shandong Province 257000, China
关键词:
【关键词】 前循环动脉 镜像性 血管内治疗
文献标志码:
A
摘要:
【摘要】 目的 探讨基于DSA的前循环动脉干的形态镜像性,分析前循环大动脉闭塞血管内治疗时参考健侧动脉走行进行导丝探查的价值。方法 纳入2021年1月至2022年8月在胜利油田中心医院行脑血管造影术患者250例(造影组),分为3组:青年造影组(年龄<50岁), 中年造影组(50~69岁),老年造影组(年龄≥70岁);另选行急诊机械取栓治疗的急性前循环大血管闭塞患者170例(取栓组)。观察造影组与取栓组(责任血管成功开通后)患者的脑血管造影影像资料,分析造影组双侧颈内动脉C1段、C2- C3段、虹吸段、大脑中动脉M1分叉前段以及分叉后段走行的镜像性情况,并分析取栓组血管开通率、双侧走行一致率。 结果 造影组双侧颈内动脉C1段、C2- C3段、虹吸段、M1分叉前段、M1分叉后段走行差异均无统计学意义(均P>0.05),M1分叉前段双侧镜像性一般,其余各段均双侧镜像性良好,青年造影组、中年造影组、老年造影组双侧颈内动脉C1段、C2- C3段、虹吸段、M1分叉前段、M1分叉后段走行差异均无统计学意义(均P>0.05),青年造影组C1段、各组M1分叉前段双侧镜像性一般,其余各分段双侧镜像性良好;取栓组闭塞血管开通率95.5%,全组双侧走行一致率89.0%。 结论 双侧颈内动脉C1段、C2- C3段、虹吸段、大脑中动脉M1分叉前段、分叉后段走行均存在镜像性,为脑动脉机械取栓和大动脉慢性闭塞开通时参照病变对侧血管走行操控血管内治疗材料提供了依据。

参考文献/References:

[1] Rennert RC, Wali AR, Steinberg JA, et al. Epidemiology, natural history, and clinical presentation of large vessel ischemic stroke[J]. Neurosurgery, 2019, 85: S4- S8.
[2] Salsano G,Pracucci G,Mavilio N,et al. Complications of mechanical thrombectomy for acute ischemic stroke: Incidence, risk factors, and clinical relevance in the Italian registry of endovascular treatment in acute stroke[J]. Int J Stroke, 2021, 16: 818- 827.
[3] Mokin M,Fargen KM, Primiani CT,et al. Vessel perforation during stent retriever thrombectomy for acute ischemic stroke: technical details and clinical outcomes[J]. J Neurointerv Surg, 2017, 9: 922- 928.
[4] Kang JY, Yi KS, Cha SH, et al. Gelfoam embolization for distal, medium vessel injury during mechanical thrombectomy in acute stroke: a case report[J]. World J Clin Cases, 2021, 9: 5668- 5674.
[5] Lee H, Qureshi AM, Mueller- Kronast NH, et al. Subarachnoid hemorrhage in mechanical thrombectomy for acute ischemic stroke: analysis of the STRATIS registry, systematic review, and meta- analysis[J]. Front Neurol, 2021, 12: 663058.
[6] 中华医学会神经病学分会, 中华医学会神经病学分会脑血管病学组,中华医学会神经病学分会神经血管介入协作组.中国急性缺血性脑卒中早期血管内介入诊疗指南2018[J]. 中华神经科杂志, 2018, 51:683- 691.
[7] Bouthillier A, van Loveren HR, Keller JT. Segments of the internal carotid artery: a new classification[J]. Neurosurgery, 1996, 38: 425- 433.
[8] Weibel J, Fields WS. Tortuosity, coiling, and kinking of the internal carotid artery.Ⅱ. Relationship of morphological variation to cerebrovascular insufficiency[J]. Neurology, 1965, 15: 462- 468.
[9] 陈 钰,薛华丹,金征宇,等. 双能CT血管成像对颈内动脉狭窄及闭塞的诊断[J]. 中国医学科学院学报, 2009, 31:215- 220.
[10] 孙学进,庞瑞麟,赵 卫,等. 颈内动脉虹吸部应用解剖与数字减影血管造影对照研究及应用[J]. 介入放射学杂志, 2004, 13:66- 67.
[11] Penide J, Mirza M, McCarthy R, et al. Systematic review on endovascular access to intracranial arteries for mechanical thrombectomy in acute ischemic stroke[J]. Clin Neuroradiol, 2022, 32: 5- 12.
[12] Maslias E, Puccinelli F, Nannoni S, et al. Predictors of endovascular treatment procedural complications in acute ischemic stroke: a single- center cohort study[J]. AJNR Am J Neuroradiol, 2022, 43: 1743- 1748.
[13] Benson JC, Brinjikji W, Messina SA, et al. Cervical internal carotid artery tortuosity: a morphologic analysis of patients with acute ischemic stroke[J]. Interv Neuroradiol, 2020, 26: 216- 221.
[14] Sato D, Ogawa S, Torazawa S, et al. Evaluation of middle cerebral artery symmetry: a pilot study for clinical application in mechanical thrombectomy[J]. World Neurosurg, 2022, 166: e980- e985.
[15] Brzegowy P,Polak J,Wnuk J,et al. Middle cerebral artery anatomical variations and aneurysms: a retrospective study based on computed tomography angiography findings[J]. Folia Morphol (Warsz), 2018, 77: 434- 440.
[16] Chai S, Sheng Z, Xie W, et al. Assessment of apparent internal carotid tandem occlusion on high- resolution vessel wall imaging: comparison with digital subtraction angiography[J]. AJNR Am J Neuroradiol, 2020, 41: 693- 699.
[17] Zhang X, Cao YZ, Mu XH, et al. Highly accelerated compressed sensing time- of- flight magnetic resonance angiography may be reliable for diagnosing head and neck arterial steno- occlusive disease: a comparative study with digital subtraction angiography[J]. Eur Radiol, 2020, 30: 3059- 3065.
[18] Wu F,Yu H,Yang Q. Imaging of intracranial atherosclerotic plaques using 3.0 T and 7.0 T magnetic resonance imaging- current trends and future perspectives[J]. Cardiovasc Diagn Ther, 2020, 10: 994- 1004.

备注/Memo

备注/Memo:
(收稿日期:2023- 07- 10)
(本文编辑:新 宇)
更新日期/Last Update: 2024-06-03