有症状颈动脉狭窄的微栓子信号监测

被引：5

作者：

伊帅

潘旭东

马爱军

隋艳玲

王琨

机构：

[1] 青岛大学医学院附属医院东区神经科

来源：

国际脑血管病杂志 | 2010年 / 06期

关键词：

颈动脉狭窄; 颈动脉疾病; 卒中; 脑缺血发作,短暂性; 颅内栓塞; 超声检查,多普勒;

D O I：

暂无

中图分类号：

R743.3 [急性脑血管疾病（中风）];

学科分类号：

1002 ;

摘要：

目的探讨微栓子信号(microembolic signal,MES)与有症状性颈动脉狭窄程度、斑块超声回声、狭窄处收缩期血流速度以及卒中危险因素的关系。方法对52例有症状颈动脉狭窄患者双侧大脑中动脉进行MES监测及颈动脉彩超检查。结果症状侧MES阳性率显著高于无症状侧(28.8%对4.5%,P<0.05)。MES阳性率与狭窄程度、斑块超声回声、狭窄处收缩期血流速度以及卒中危险因素无显著相关性。结论 MES主要发生在症状侧,与斑块不稳定更为密切。

引用

页码：407 / 410

共 10 条

[1] Determinants of Micro-embolic Signals in Patients with Atherosclerotic Plaques of the Internal Carotid Artery [J].

Telman, G. ;

Kouperberg, E. ;

Hlebtovsky, A. ;

Sprecher, E. ;

Hoffman, A. ;

Beyar, R. .

EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2009, 38 (02) :143-147

[2]

Prevalence of Micro-Emboli in Symptomatic High Grade Carotid Artery Disease: A Transcranial Doppler Study[J] . T. Zuromskis,R. Wetterholm,J.F. Lindqvist,S. Svedlund,C. Sixt,D. Jatuzis,D. Obelieniene,K. Caidahl,R. Volkmann.European Journal of Vascular & Endovascular Surgery . 2008 (5)

[3]

Prevalence and prognostic impact of microembolic signals in arterial sources of embolism[J] . M. A. Ritter,R. Dittrich,N. Thoenissen,E. B. Ringelstein,D. G. Nabavi.Journal of Neurology . 2008 (7)

[4] Correlation of cerebrovascular symptoms and microembolic signals with the stratified gray-scale median analysis and color mapping of the carotid plaque [J].

Sztajzel, R ;

Momjian-Mayor, I ;

Comelli, M ;

Momjian, S .

STROKE, 2006, 37 (03) :824-829

[5] Asymptomatic embolization detected by Doppler ultrasound predicts stroke risk in symptomatic carotid artery stenosis [J].

Markus, HS ;

MacKinnon, A .

STROKE, 2005, 36 (05) :971-975

[6]

Dual Antiplatelet Therapy With Clopidogrel and Aspirin in Symptomatic Carotid Stenosis Evaluated Using Doppler Embolic Signal Detection: The Clopidogrel and Aspirin for Reduction of Emboli in Symptomatic Carotid Stenosis (CARESS) Trial[J] . Hugh S. Markus,Dirk W. Droste,Manfred Kaps,Vincent Larrue,Kennedy R. Lees,Mario Siebler,E Bernd Ringelstein.Circulation . 2005 (17)

[7]

Microembolic signals and carotid plaque morphology: a study of 71 patients with moderate or high grade carotid stenosis[J] . I.Mayor,M.Comelli,E.Vassileva,P.Burkhard,R.Sztajzel.Acta Neurologica Scandinavica . 2003 (2)

[8]

Microembolus detection by transcranial doppler sonography[J] . Ralf Dittrich,Martin A Ritter,Dirk W Droste.European Journal of Ultrasound . 2002 (1)

[9]

Determinants of Carotid Plaque Instability: Echoicity versus Heterogeneity[J] . T.J Tegos,P Stavropoulos,M.M Sabetai,P Khodabakhsh,A Sassano,A.N Nicolaides.European Journal of Vascular & Endovascular Surgery . 2001 (1)

[10] CEREBRAL MICROEMBOLISM IN SYMPTOMATIC AND ASYMPTOMATIC HIGH-GRADE INTERNAL CAROTID-ARTERY STENOSIS [J].

SIEBLER, M ;

KLEINSCHMIDT, A ;

SITZER, M ;

STEINMETZ, H ;

FREUND, HJ .

NEUROLOGY, 1994, 44 (04) :615-618

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