急性后循环脑梗死诊治现状

Journal: Basic Medical Theory Research DOI: 10.12238/bmtr.v4i2.4996

朱佳颖, 卢宝全

华北理工大学研究生学院

Abstract

脑梗死作为危害人类生命健康的重要疾病,其救治效果有很强的时间依赖性,而后循环脑梗死因其梗死部位的特殊性,其急性期诊断和治疗尚未引起重视及有效管理。本综述旨在从急性后循环脑梗死的诊断及治疗现状对其疾病特点进行分析,为日后有效的临床管理提供思路。

Keywords

脑梗死;椎-基底动脉系统;血管内治疗

References

[1] 蔡俊秀,辛岳,吴秀美,等.急性后循环脑梗死患者疾病严重程度及预后影响因素的研究进展[J].中华老年心脑血管病杂志,2020,22(2):3.
[2] 湖北省脑卒中防治中心质量控制组.急性后循环缺血性卒中早期识别与评估专家共识[J].卒中与神经疾病,2021,28(2):245-252.
[3] GURLEY K L, EDLOW J A. Avoidingmisdiagnosis in patie nts with posterior circulation ischemia: A narrative review[J].Academic emergency medicine:official journal of the Society for Academic Emergency Medicine,2019,26(11):1273-1284.
[4] CHOI J H, OH E H, PARK M G, et al. Early MRI-negative posterior circulation stroke presenting as acute dizziness[J]. Journal of neurology,2018,265(12):2993-3000.
[5] LIN S F, CHEN C I, HU H H, et al. Predicting functional outcomes of posterior circulation acute ischemic stroke in first 36 h of stroke onset[J]. Journal of neurology, 2018, 265(4):926-932.
[6] CHALELA J A, KIDWELL C S, NENTWICH L M, et al. Magnetic resonance imaging and computed tomography in emergency assessment of patients with suspected acute stroke: a prosp ectivecomparison[J].Lancet(London,England),2007,369(9558):293-298.
[7] KWAH L K, DIONG J. National Institutes of Health Stroke Scale (NIHSS)[J].Journal of physiotherapy,2014,60(1):61.
[8] INOA V, ARON A W, STAFF I, et al. Lower NIH stroke scale scores are required to accurately predict a good prognosis in posterior circulation stroke[J].Cerebrovascular Diseases,2014,
[9] OLIVATO S,NIZZOLI S,CAVAZZUTI M,et al.e-NIHSS:an expa nded national institutes of health stroke scale weighted for anterior and posterior circulation strokes[J]. J Stroke Cerebr ovasc Dis,2016:2953.
[10] KOROSHETZ W J.Tissue plasminogen activator for acute ischemic stroke[J]. The New England journal of medicine, 1995, 334(21):1581.
[11] HACKE W, KASTE M, BLUHMKI E, et al. Thrombolysis with alteplase 3 to 4.5 hours after acute ischemic stroke[J]. The New England journal of medicine, 2008,359(13):1317-1329.
[12] SANDERCOCK P, WARDLAW J M, LINDLEY R I, et al. The benefits and harms of intravenous thrombolysis with recomb inant tissue plasminogen activator within 6 h of acute ischae mic stroke (the third international stroke trial [IST-3]): a randomised controlled trial[J].Lancet (London, England), 2012, 379(9834):2352-2363.
[13] SAND K M, NAESS H, NILSEN R M, et al. Less thrombolysis in posterior circulation infarction-a necessary evil?[J]. Acta neurologica Scandinavica,2017,135(5):546-552.
[14] MAZYA M V, LEES K R, COLLAS D, et al. IV thrombolysis in very severe and severe ischemic stroke: Results from the SITS-ISTRRegistry[J].Neurology,2015,85(24):2098-2106.
[15] MACHA K, HOELTER P, SIEDLER G, et al. IV-Thrombolysis in ischemic stroke with unknown time of onset-safety and outcomes in posterior vs. anterior circulation stroke[J]. Fron tiers in neurology, 2021, 12:692067.
[16] ALBERS G W, MARKS M P, KEMP S, et al. Thrombectomy for stroke at 6 to 16 hours with selection by perfusion imaging[J].The New England journal of medicine,2018,378(8):708-718.
[17] NOGUEIRA R G, JADHAV A P,HAUSSEN D C,et al.Thromb ectomy 6 to 24 hours after stroke with a mismatch between deficit and infarct[J]. The New England journal of medicine, 2018,378(1):11-21.
[18] RENTZOS A, KARLSSON J E, LUNDQVIST C, et al. Endovascular treatment of acute ischemic stroke in the posteriorcirculation[J].Interventional neuroradiology:journal of peritherapeutic neuroradiology, surgical procedures and relatedneurosciences,2018,24(4):405-411.
[19] MEYER L, STRACKE C P, JUNGI N, et al. Thrombectomy for primary distal posterior cerebral artery occlusion stroke:the TOPMOST study[J].JAMA neurology,2021,78(4):434-444.
[20] SANG H,LI F, YUAN J, et al. Values of baseline posterior circulation acute stroke prognosis early computed tomography score for treatment decision of acute basilar artery occlusi on[J]. Stroke, 2021, 52(3):811-820.
[21] HUO X, RAYNALD, GAO F,et al.Characteristic and progno sis of acute large vessel occlusion in anterior and posterior circulation after endovascular treatment: the ANGEL registry real world experience[J].Journal of thrombosis and thrombol ysis,2020,49(4):527-532.
[22] WATSON C C L, FERIA A, CHEN C J, et al. Outcomes and complications of endovascular mechanical thrombectomy in the treatment of acute posterior circulation occlusions: a systematic review[J].Worldneurosurgery,2021,145:35-44.
[23] KURIBARA T,IIHOSHI S,TSUKAGOSHI E,et al.Thrombecto my for acute large vessel occlusion in posterior and anterior circulation:a single institutionalretrospective observational study[J].Neuroradiology,2022,64(3):565-574.

Copyright © 2022 朱佳颖, 卢宝全

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License