[1]梁 高,余 薇,谢明国,等.急性缺血性脑卒中血管腔内治疗后对比剂外渗影像学研究现状[J].介入放射学杂志,2023,32(01):98-101.
 LIANG Gao,YU Wei,XIE Mingguo,et al.Research status of contrast extravasation imaging in acute ischemic stroke after endovascular therapy[J].journal interventional radiology,2023,32(01):98-101.
点击复制

急性缺血性脑卒中血管腔内治疗后对比剂外渗影像学研究现状()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
32
期数:
2023年01
页码:
98-101
栏目:
讲 座
出版日期:
2023-02-13

文章信息/Info

Title:
Research status of contrast extravasation imaging in acute ischemic stroke after endovascular therapy
作者:
梁 高 余 薇 谢明国 刘 敏 刘姝芩 侯中华 张明星
Author(s):
LIANG Gao YU Wei XIE Mingguo LIU Min LIU Shuqin HOU Zhonghua ZHANG Mingxin.
Department of Radiology, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan Province 610075, China
关键词:
【关键词】对比剂外渗血管腔内治疗出血性转化研究现状
文献标志码:
A
摘要:
【摘要】 对比剂外渗(CE)和出血性转化(HT)是急性缺血性脑卒中血管腔内治疗(EVT)后的常见并发症,两者有相似的影像学表现,不同的临床治疗方法和转归。早期鉴别诊断CE和HT,对临床治疗和预后至关重要。本文就临床CE影响因素,常规CT、双能CT(DECT)及MRI诊断EVT后CE研究现状作一综述,为预防CE和早期鉴别诊断提供帮助。

参考文献/References:

[1] Wollenweber FA, Tiedt S, Alegiani A, et al. Functional outcome following stroke thrombectomy in clinical practice[J]. Stroke, 2019, 50: 2500-2506.
[2] Horsch AD, Bennink E, Van ST, et al. Computed tomography perfusion derived blood-brain barrier permeability does not yet improve prediction of hemorrhagic transformation[J]. Cerebrovasc Dis, 2018, 45: 26-32.
[3] 刘钦晨,贾振宇,赵林波,等. 梗死核心容积预测急性前循环大血管闭塞患者机械取栓术后出血转化的价值[J]. 介入放射学杂志,2021,30:756-760.
[4] Mokin M, Kan P, Kass-Hout T, et al. Intracerebral hemorrhage secondary to intravenous and endovascular intraarterial revascularization therapies in acute ischemic stroke: an update on risk factors, predictors, and management[J]. Neurosurg Focus, 2012, 32: E2.
[5] Parrilla G, Garcia-Villalba B, Espinosa de Rueda M, et al. Hemorrhage/contrast staining areas after mechanical intra-arterial thrombectomy in acute ischemic stroke: imaging findings and clinical significance[J]. AJNR Am J Neuroradiol, 2012, 33: 1791-1796.
[6] Xu T, Wang Y, Yuan J, et al. Contrast extravasation and outcome of endovascular therapy in acute ischaemic stroke: a systematic review and meta-analysis[J]. BMJ Open, 2021, 11: e044917.
[7] Alvarez-Sabin J, Maisterra O, Santamarina E, et al. Factors influencing haemorrhagic transformation in ischaemic stroke[J]. Lancet Neurol, 2013, 12: 689-705.
[8] Shi ZS, Duckwiler GR, Jahan R, et al. Early blood-brain barrier disruption after mechanical thrombectomy in acute ischemic stroke[J]. J Neuroimaging, 2018, 28: 283-288.
[9] Sun Y, Su Y, Chen Z, et al. Contrast extravasation after endovascular treatment in posterior circulation stroke[J]. World Neurosurg, 2019, 130: e583-e587.
[10] Molina CA, Alvarez-Sabin J. Recanalization and reperfusion therapies for acute ischemic stroke[J]. Cerebrovasc Dis, 2009, 27(Suppl 1): 162-167.
[11] Keulers A, Nikoubashman O, Mpotsaris A, et al. Preventing vessel perforations in endovascular thrombectomy: feasibility and safety of passing the clot with a microcatheter without microwire: the wireless microcatheter technique[J]. J Neurointerv Surg, 2019, 11: 653-658.
[12]杜 川,程 文,杨全龙,等. 急性大血管闭塞性卒中机械取栓术后对比剂外渗的影响因素研究[J]. 中华脑科疾病与康复杂志(电子版),2020,10:106-109.
[13]王大巍,高阿芳,束汉生,等. 急性缺血性脑卒中机械取栓后造影剂渗出的临床研究[J]. 蚌埠医学院学报,2019,44:1170- 1172.
[14]付 睿,贺茂林,赵星辉,等. 急性缺血性卒中动脉溶栓后造影剂渗出的临床分析[J]. 中华临床医师杂志(电子版),2013,7:2365-2369.
[15] Liu K, Jiang L, Zhao Y, et al. Risk factors of contrast extravasation and subsequent hemorrhagic transformation after thrombectomy[J]. J Int Med Res, 2021, 49: 3000605211049074.
[16] Yedavalli V, Sammet S. Contrast extravasation versus hemorrhage after thrombectomy in patients with acute stroke[J]. J Neuroimaging, 2017, 27: 570-576.
[17] Kim JT, Heo SH, Cho BH, et al. Hyperdensity on non-contrast CT immediately after intra-arterial revascularization[J]. J Neurol, 2012, 259: 936-943.
[18] Whitney E, Khan YR, Alastra A, et al. Contrast extravasation post thrombectomy in patients with acute cerebral stroke: a review and recommendations for future studies[J]. Cureus, 2020, 12: e10616.
[19] Jang YM, Lee DH, Kim HS, et al. The fate of high-density lesions on the non-contrast CT obtained immediately after intra-arterial thrombolysis in ischemic stroke patients[J]. Korean J Radiol, 2006, 7: 221-228.
[20] Yoon W, Seo JJ, Kim JK, et al. Contrast enhancement and contrast extravasation on computed tomography after intra-arterial thrombolysis in patients with acute ischemic stroke[J]. Stroke, 2004, 35: 876-881.
[21] Nakano S, Iseda T, Kawano H, et al. Parenchymal hyperdensity on computed tomography after intra-arterial reperfusion therapy for acute middle cerebral artery occlusion: incidence and clinical significance[J]. Stroke, 2001, 32: 2042-2048.
[22]刘美洲,刘辉佳,富 彦,等. 双源双能量CT在鉴别急性缺血性脑梗死血运重建术后碘造影剂外渗和继发脑出血中的价值[J]. 实用医学杂志,2017,33:2569-2572.
[23] Payabvash S, Qureshi MH, Khan SM, et al. Differentiating intraparenchymal hemorrhage from contrast extravasation on post-procedural noncontrast CT scan in acute ischemic stroke patients undergoing endovascular treatment[J]. Neuroradiology, 2014, 56: 737-744.
[24] Xu C, Zhou Y, Zhang R, et al. Metallic hyperdensity sign on noncontrast CT immediately after mechanical thrombectomy predicts parenchymal hemorrhage in patients with acute large-artery occlusion[J]. AJNR Am J Neuroradiol, 2019, 40: 661-667.
[25] Chen S, Zhang J, Quan X, et al. Diagnostic accuracy of dual-energy computed tomography to differentiate intracerebral hemorrhage from contrast extravasation after endovascular thrombectomy for acute ischemic stroke: systematic review and meta-analysis[J]. Eur Radiol, 2022, 32: 432-441.
[26] Chen X, Li Y, Zhou Y, et al. CT-based radiomics for differentiating intracranial contrast extravasation from intraparenchymal haemorrhage after mechanical thrombectomy[J]. Eur Radiol, 2022, 32: 4771-4779.
[27] Gupta R, Phan CM, Leidecker C, et al. Evaluation of dual-energy CT for differentiating intracerebral hemorrhage from iodinated contrast material staining[J]. Radiology, 2010, 257: 205-211.
[28] Zaouak Y, Sadeghi N, Sarbu N, et al. Differentiation between cerebral hemorrhage and contrast extravasation using dual energy computed tomography after intra-arterial neuro interventional procedures[J]. J Belg Soc Radiol, 2020, 104: 70.
[29] Tijssen M, Hofman P, Stadler A, et al. The role of dual energy CT in differentiating between brain haemorrhage and contrast medium after mechanical revascularisation in acute ischaemic stroke[J]. Eur Radiol, 2014, 24: 834-840.
[30]陈国强,刘国荣,韩 洋,等. 头颅双能量CT平扫在介入治疗后颅内出血诊断中的应用[J]. 中华老年心脑血管病杂志,2018,20:576-579.
[31]朱凤英,陈英敏,马书敏,等. 双能CT鉴别卒中取栓术后造影剂外渗与脑出血的价值[J]. 中国实用神经疾病杂志,2019,22:1877-1884.
[32]郭 爽,李 清,吴 芳,等. 双能CT在急性缺血性卒中血管内治疗术后早期脑出血与碘对比剂外渗鉴别诊断中的应用[J]. 首都医科大学学报,2018,39:173-177.
[33] Bonatti M, Lombardo F, Zamboni GA, et al. Iodine extravasation quantification on dual-energy CT of the brain performed after mechanical thrombectomy for acute ischemic stroke can predict hemorrhagic complications[J]. AJNR Am J Neuroradiol, 2018, 39: 441-447.
[34] Phan CM, Yoo AJ, Hirsch JA, et al. Differentiation of hemorrhage from iodinated contrast in different intracranial compartments using dual-energy head CT[J]. AJNR Am J Neuroradiol, 2012, 33: 1088-1094.
[35] Jinkins JR, Robinson JW, Sisk L, et al. Proton relaxation enhancement associated with iodinated contrast agents in MR imaging of the CNS[J]. AJNR Am J Neuroradiol, 1992, 13: 19-27.
[36] Ganguly A, Gold GE, Butts PK, et al. Quantitative evaluation of the relaxivity effects of Iodine on GD-DTPA enhanced MR arthrography[J]. J Magn Reson Imaging, 2007, 25: 1219-1225.
[37] Hergan K, Doringer W, Langle M, et al. Effects of iodinated contrast agents in MR imaging[J]. Eur J Radiol, 1995, 21: 11-17.
[38] Morales H, Lemen L, Samaratunga R, et al. Effects of iodinated contrast on various magnetic resonance imaging sequences and field strength: implications for characterization of hemorrhagic transformation in acute stroke therapy[J]. World J Radiol, 2016, 8: 588-593.
[39] Nikoubashman O, Jablawi F, Dekeyzer S, et al. MRI appearance of intracerebral iodinated contrast agents: is it possible to distinguish extravasated contrast agent from hemorrhage?[J]. AJNR Am J Neuroradiol, 2016, 37: 1418-1421.
[40] You SH, Kim B, Kim BK, et al. MR imaging for differentiating contrast staining from hemorrhagic transformation after endovascular thrombectomy in acute ischemic stroke: phantom and patient study[J]. AJNR Am J Neuroradiol, 2018, 39: 2313-2319.
[41]马永青,尹 喜,王成伟. 磁敏感加权血管成像对脑微出血的诊断及对急性脑梗死预后的评估[J]. 中国医学影像学杂志,2019,27:584-588.

备注/Memo

备注/Memo:
(收稿日期:2021-11-13)
(本文编辑:边佶)
更新日期/Last Update: 2023-02-13