急性基底动脉闭塞研究进展
龙建武;陈健;张鸿祺;
摘要(Abstract):
急性基底动脉闭塞(basilar artery occlusion,BAO)是最严重的缺血性卒中类型,病死率可接近90%。自2014-09开始5大研究相继公布了较为一致的研究结果,在急性前循环缺血性卒中患者中,以机械取栓为主的血管内治疗可带来明确获益,对急性缺血性卒中的治疗迈进了一大步。但对于后循环急性缺血性卒中,目前缺乏充分的证据证实血管内治疗在BAO中的有效性。本文就BAO最新研究进展作一综述。
关键词(KeyWords): 急性基底动脉闭塞;血管内介入治疗
基金项目(Foundation): 卫生部资助《缺血性卒中急性期血管内治疗技术研究》项目(2011BAI08B07)
作者(Authors): 龙建武;陈健;张鸿祺;
参考文献(References):
- [1]Mattle HP,Arnold M,Lindsberg PJ,et al.Basilar artery occlusion[J].Lancet Neurol,2011,10(11):1 002-1 014.
- [2]Voetsch B,DeWitt LD,Pessin MS,et al.Basilar artery occlusive disease in theNew England Medical Center Posterior Circulation Registry[J].Arch Neurol,2004,61(4):496-504.
- [3]Sarraj A,Medrek S,Albright K,et al.Posterior circulation stroke is associated with prolonged door-to-needle time[J].Int J Stroke,2015,10(5):672-678.
- [4]Dorňák T,Herzig R,Kuliha M,et al.Endovascular treatment of acute basilar artery occlusion:time to treatment is crucial[J].Clin Radiol,2015,70(50):20-27.
- [5]Arnold M,Nedeltchev K,Schroth G,et al.Clinical and radiological predictors of recanalisation and outcome of40patients with acute basilar artery occlusion treated withintra-arterial thrombolysis[J].J Neurol Neurosurg Psychiatry,2004,75(6):857-862.
- [6]Boone M,Chillon JM,Garcia PY,et al.NIHSS and acute complications after anterior and posterior circulation strokes[J].Dovepress,2012,8(4):722-726.
- [7]Linfante I,Walker GR,Castonguay AC,et al.Predic-tors of Mortality in Acute Ischemic Stroke Interven-tion:Analysis of the North American Solitaire Acute Stroke Registry[J].Stroke,2015,46(8):2 305-2 308.
- [8]The European Stroke Organisation(ESO)Executive Committee and the ESO Writing Committee.Guide-lines for management of ischaemic stroke and transient ischaemic attack 2008[J].Cerebrovasc Dis,2008,25(3):457-507.
- [9]Wentz KU,R9ther J,Schwartz A,et al.Intracranial vertebrobasilar system:MR angiography[J].Radiology,1994,190(6):105-110.
- [10]Tatu L,Moulin T,Bogousslavsky J,et al.Arterial territories of human brain:brainstem and cerebellum[J].Neurology,1996,47(5):1 125-1 135.
- [11]缪中荣,王拥军.急性缺血性卒中血管内治疗中国指南2015[J].中国卒中杂志,2015,10(7):590-606.
- [12]Zeumer H,Hacke W,Ringelstein EB.Local intraarterial thrombolysis in vertebrobasilar thromboembolic disease[J].AJNR Am J Neuroradiol,1983,4(3):401-404.
- [13]Macleod MR,Davis SM,Mitchell PJ,et al.Results of a multicentre,randomised controlled trial of intra-arterial urokinase in the treatment of acute posterior circulation ischaemic stroke[J].Cerebrovasc Dis,2005,20(1):12-17.
- [14]Smith WS.Intra-arterial thrombolytic therapy for acute basilar occlusion:pro[J].Stroke,2007,38(2):701-703.
- [15]Terada T,Higashida RT,Halbach VV,et al.Transluminal angioplasty for arteriosclerotic disease of the distal vertebral and basilar arteries[J].J Neurol Neurosurg Psychiatry,1996,60(4):377-381.
- [16]Mpotsaris A,Bussmeyer M,Weber W.Mechanical thrombectomy with the Penumbra 3DSeparator and lesional aspiration:technical feasibility and clinical outcome[J].Clin Neuroradiol,2014,24(3):245-250.
- [17]Mourand I,Machi P,Milhaud D,et al.Mechanical thrombectomy with the Solitaire device in acute basilar artery occlusion[J].J Neurointerv Surg,2014,6(3):200-204.
- [18]高峰,孙瑄,莫大鹏,等.SolitaireTM支架取栓治疗BAO研究[J].中国卒中杂志,2015,10(7):543-549.
- [19]Carneiro AA,Rodrigues JT,Pereira JP,et al.Mechanical thrombectomy in patients with acute basilar occlusion using stent retrievers[J].Interv Neuroradiol,2015,21(6):710-714.