摘要
颅内动脉粥样硬化性狭窄(ICAS)是缺血性卒中的常见原因,其中症状性ICAS与卒中复发密切相关,无症状性ICAS未来发生卒中风险明显增高。高分辨率磁共振管壁成像技术作为评价颅内动脉管壁成像特征的新手段,除可无创识别颅内动脉狭窄病因、准确判断卒中机制及评价斑块稳定性外,在观察病变动态演变及穿支动脉特征、评价药物疗效及指导颅内动脉狭窄的血管内治疗等方面也极具优势,临床应用意义重大。作者就该方面进展进行综述。
Intracranial atherosclerosis(ICAS)is a common cause of ischemic stroke.The symptomatic ICAS is closely associated with frequent stroke recurrence,while the asymptomatic ICAS has evidently higher risk of future stroke onset.High-resolution magnetic resonance imaging is regarded as a significant emerging method.In addition to non-invasive identification of intracranial artery stenosis causes,accurate stroke mechanism judgment and plaque stability evaluation,it has great advantages and clinical value in observing the dynamic evolution of lesions and characteristics of perforating arteries,evaluation of drug efficacy and guidance of intravascular treatment of intracranial artery stenosis.The article aims to review the recent development of researches in the mentioned aspects.
作者
苗慧娟
郭秀海
Miao Huijuan;Guo Xiuhai(Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China)
出处
《中国脑血管病杂志》
CAS
CSCD
北大核心
2019年第11期607-612,共6页
Chinese Journal of Cerebrovascular Diseases
基金
国家重点研发计划(2017YFC1307903)
