|
大脑中动脉M2段脑梗死介入治疗的研究进展
|
Abstract:
大脑中动脉M2段(M2 segment of middle cerebral artery, MCA-M2)是颈内动脉系统的重要分支,大脑中动脉M2段闭塞脑梗死导致的神经功能缺损对患者家庭及社会带来了沉重的负担。大脑中动脉M2段闭塞脑梗死的介入治疗目前仍存在争议。目前有研究表明大脑中动脉M2段闭塞脑梗死血管内治疗优于传统的内科治疗。RAPID软件在急性缺血性脑卒中患者行血管内治疗的决策中提供帮助得到认可,但对于大脑中动脉M2段闭塞脑梗死的血管内治疗适应症的选择缺乏定论。本文就大脑中动脉M2段闭塞脑梗死血管内治疗疗效及Rapid软件筛选合适大脑中动脉M2段闭塞脑梗死介入治疗患者做一综述。
The M2 segment of middle cerebral artery (MCA-M2) is an important branch of the internal carotid artery system. Cerebral infarction caused by M2 segment occlusion of MCA-M2 has brought a heavy burden on the family and society. The interventional treatment of M2 segment occlusion of MCA-M2 is still controversial. Current studies have shown that endovascular treatment of M2 segment occlusion of MCA-M2 is superior to traditional medical treatment. RAPID software has been recognized as a helpful tool in the decision-making of endovascular treatment for patients with acute ischemic stroke, but there is a lack of a definite conclusion on the indications for endovascular treatment of M2 segment occlusion of MCA-M2. This article reviews the efficacy of endovascular treatment of M2 segment occlusion of MCA-M2 and the selection of suitable patients for interventional treatment of M2 segment occlusion of MCA-M2 with Rapid software.
[1] | Collaborators G2S (2021) Global, Regional, and National Burden of Stroke and Its Risk Factors, 1990-2019: A Systematic Analysis for the Global Burden of Disease Study 2019. The Lancet Neurology, 20, 795-820. https://doi.org/10.1016/s1474-4422(21)00252-0 |
[2] | 《中国脑卒中防治报告》编写组. 《中国脑卒中防治报告2019》概要[J]. 中国脑血管病杂志, 2020, 17(5): 272-281. |
[3] | 龚洪敏, 赵立波, 刘曙东. 不同方法治疗急性大脑中动脉M2段闭塞效果[J]. 中国介入影像与治疗学, 2021, 18(2): 74-78. |
[4] | 张萍, 张敏敏, 杨鹏飞, 等. RAPID软件在急性缺血性脑卒中血管内治疗患者预后预测中的应用价值[J]. 第二军医大学学报, 2018, 39(9): 1013-1018. |
[5] | Wang, J., Qian, J., Fan, L. and Wang, Y. (2020) Efficacy and Safety of Mechanical Thrombectomy for M2 Segment of Middle Cerebral Artery: A Systematic Review and Meta-Analysis. Journal of Neurology, 268, 2346-2354. https://doi.org/10.1007/s00415-020-09710-w |
[6] | Powers, W.J., Rabinstein, A.A., Ackerson, T., Adeoye, O.M., Bambakidis, N.C., Becker, K., et al. (2019) Guidelines for the Early Management of Patients with Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals from the American Heart Association/American Stroke Association. Stroke, 50, e344-e418. https://doi.org/10.1161/str.0000000000000211 |
[7] | 彭潇, 蔡学礼, 黄逸杰, 等. 不同取栓方式治疗急性大脑中动脉M2段闭塞性脑梗死的疗效及安全性[J]. 温州医科大学学报, 2023, 53(10): 795-800. |
[8] | Goyal, M., Menon, B.K., van Zwam, W.H., Dippel, D.W.J., Mitchell, P.J., Demchuk, A.M., et al. (2016) Endovascular Thrombectomy after Large-Vessel Ischaemic Stroke: A Meta-Analysis of Individual Patient Data from Five Randomised Trials. The Lancet, 387, 1723-1731. https://doi.org/10.1016/s0140-6736(16)00163-x |
[9] | Almekhlafi, M., Ospel, J.M., Saposnik, G., Kashani, N., Demchuk, A., Hill, M.D., et al. (2020) Endovascular Treatment Decisions in Patients with M2 Segment MCA Occlusions. American Journal of Neuroradiology, 41, 280-285. https://doi.org/10.3174/ajnr.a6397 |