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TCD监测脑高灌注综合征 被引量：5

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摘要 脑高灌注综合征(Cerebral hyperperfusion syndrome,CHS)常发生于颈动脉内膜切除术(carotid endarterectomy,CEA)后或颈动脉支架置入术(carotid artery stenting,CAS)后,系由原先低灌注区脑血流量(cerebral blood flow,CBF)显著增加超过脑组织代谢需要而引起的一种严重并发症。其临床症状多样,以意识水平下降、意识内容改变,头痛和癫痫、局灶性发作最为常见。如果不及时救治,一旦发生脑出血或蛛网膜下腔出血,致残率和死亡率较高。因此,患者发生CHS的高灌注状态的监测非常重要。而TCD是目前应用监测或评估CHS最常用的检查技术。
作者 肖占琴 黄韵伊 杨礼环
机构地区 重庆市渝北区人民医院 重庆医科大学附属第二医院
出处 《中国医学装备》 2014年第B12期148-148,共1页 China Medical Equipment
基金 cofilin1通过影响神经元细胞骨架重塑参与癫癇发病机制的研究。项目编号:2012-02-295
关键词 高灌注综合征 颈动脉内膜切除术 颈动脉支架置入术
分类号 R743 [医药卫生—神经病学与精神病学]
  • 相关文献

参考文献13

  • 1Moulakakis KG, Mylonas SN, Sfyroeras GS, Andrikopoulos V. Hyperperfusion syndrome after carotid revascularization. J Vasc Surg. 2009 Apr;49(4):1060-8. Epub 2009 Feb 26.
  • 2Noorani A, Sadat U, Gaunt ME.Cerebral hemodynamic changes following carotid endarterectomy: 'cerebral hyperpeffusian syndrome'. Expert g_ev Neurother. 2010 Feb;10(2):217-23.
  • 3Kitagawa K. Carotid stenosis, baroreceptor sensitivity and cerebral autoregulation - imphcation for cerebral hyperperfmion syndrome -. CircJ. 2010 Oct;74(10):2058-9. Epub 2010 Sep 11.
  • 4Macfarlane t<, Moskowitz MA, Sakas DE, Tasdemiroglu E, Wei EP, Kontos HA. The role of neuroeffector mechanisms in cerebral hyperperfusion syndromes. J Neurosurg. 1991 Dec;75(6):845-55.
  • 5Bouri S, Thapar A, Shalhoub J, Jayasooriya G, Femando A, Franklin [J, Davies AH. Hypertension and the post-carotid endarterectomy cerebral hyperperfusion syndrome.Eur J Vasc Endovasc Surg. 2011 Feb;41(2):229-37. Epub 2010 Dec 4.
  • 6Ascher E, Markevich N, Schutzer IW, Kallakuri S, Jacob T, Hingorani AP. Cerebral hyperperfusion syndrome after carotid endarterectomy: predictive factors and hemodynamic changes. J Vast Surg. 2003 Apr;37(4):769-77.
  • 7Ogasawara K, Sakai N, Kuroiwa T, et al. lntracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting: retrospective review of 4494 patients. J Neurosurg. 2007 Dec;107(6):1130-6.
  • 8Yadav JS, Wholey MH, Kuntz RE, et al.Protected carotid-artery stenting versus endarterectomy in high-risk patients. N EnglJ Med. 2004 Oct 7;351(15):1493-501.
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二级参考文献10

  • 1郑宇,华扬,凌锋,凌晨,段春,李慎茂,缪中荣.颈动脉内膜剥脱术前、术中、术后颅内外血流动力学变化的研究[J].中国医学影像技术,2004,20(12):1872-1874. 被引量：24
  • 2李萌,菅凤增,郑宇,支兴龙,张鹏,张鸿祺,华扬,凌锋.颈动脉内膜切除术中应用临时转流管的疗效探讨[J].中国脑血管病杂志,2005,2(3):105-108. 被引量：6
  • 3[1]Piepgras DG, Morgan MK, Sundt TM, et al. Intracerebral hemorrhage after carotid endarterectomy. J Neurosurg,1988, 68: 532-536.
  • 4[3]Dalman JE, Beenakkers IC, Moll FL, et al. Transcranial Doppler monitoring during carotid endarterectomy helps to identify patients at risk of postoperative hyperperfusion.Eur J Vasc Endovasc Surg, 1999, 18: 222-227.
  • 5[4]华扬,编著.缺血性脑血管病的颈动脉和颅脑超声.北京:中国科学出版社,2003.58-60.
  • 6[5]Nielsen MY, Sillesen HH, Jorgensen LG, et al. The hemodynamic effect of carotid endarterectomy. Eur J Endovasc Surg, 2002, 24: 53-58.
  • 7[6]Spencer MP. Transcranial Doppler monitoring and causes of stroke from carotid endarterectomy. Stroke, 1997, 28:1345-1350.
  • 8[7]Karapanayiotides T, Meuli R, Devuyst G, et al. Postcarotid endarterectomy hyperperfusion or reperfusion syndrome.Stroke, 2005, 36: 21-26.
  • 9[9]Hosoda K, Kawaguchi T, Shibata Y, et al. Cerebral vasoreactivity and internal carotid artery flow help to identify patients at risk for hyperperfusion after carotid endarterectomy. Stroke, 2001, 32: 1567-1573.
  • 10[10]Ogasawara K, Yukawa H, Kobayashi M, et al. Prediction and monitoring of cerebral hyperperfusion after carotid endarterectomy by using single-photon emission computerized tomography scanning. J Neurosurg, 2003, 99: 504-510.

共引文献14

同被引文献46

  • 1王桂红,姜卫剑,王拥军.脑高灌注综合征的研究进展[J].中国卒中杂志,2006,1(5):378-382. 被引量：26
  • 2Bouri S, Thapar A, Shalhoub J, et al. Hypertension and the post-carotid endarterectomy cerebral hyperperfusion syndrome[J]. Eur J Vasc Endovasc Surg, 2011, 41:229-237.
  • 3Ogasawara K, Sakai N, Kuroiwa T, et al. Intracranial hemorrhage associated with cerebral hyperperfusion syndrome following carotid endarterectomy and carotid artery stenting:retrospective review of 4494 patients[J]. J Neurosurg, 2007, 107:1130-1136.
  • 4Backhaus R, Boy S, Fuehs K, et al. Hyperperfusion syndrome after MCA emboleetomy-a rare complieation?[J]. Am J Case Rep, 2013, 14:513-517.
  • 5Moulakakis KG, Mylonas SN, Sfyroeras GS, et al. Hyperperfusion syndrome after carotid revascularization[J]. J Vase Surg, 2009, 49:1060-1068.
  • 6Fazekas G, Kasza G, Arat6 E, et al. Cerebral hyperperfusion syndrome and blood pressure control[J]. Orv Hetil, 2015, 156:1049-1053.
  • 7Fujimura M, Niizuma K, Endo H, et al. Quantitative analysis of early postoperative cerebral blood flow contributes to the prediction and diagnosis of cerebral hyperperfusion syndrome after revascularization surgery for moyamoya disease[J]. Neurol Res, 2015, 37:131-138.
  • 8Ivens S, Gabriel S, Greenberg G, et al. Blood-brain barrier breakdown as a novel meehanism underlying cerebral hyperperfusion syndrome[J]. J Neurol, 2010, 257:615-620.
  • 9Kitagawa K. Carotid stenosis, baroreceptor sensitivity and cerebral autoregulation - implication for cerebral hyperperfusion syndrome-[J]. Circ J, 2010, 74:2058- 2059.
  • 10Okamura A, Nakaoka M, Ohbayashi N, et al. lntraoperative idiopathic subarachnoid hemorrhage during carotid artery stenting:A case report and literature review[J]. Interv Neuroradiol, 2015, 21:592-597.

引证文献5

二级引证文献32

中国医学装备
2014年 第B12期

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