在血管再通时代关注脑小血管病

Cerebral small vessel disease: impact on recanalization therapies

通过静脉溶栓、机械取栓恢复血管再通已成为治疗大动脉闭塞所致急性缺血性卒中的有效治疗方法。随着人口老龄化的进程,脑小血管病日益引起重视。脑小血管病将对血管再通治疗的预后产生重要影响,是全脑受累的“大麻烦”。对脑小血管病不同影像特点(脑微出血、白质高信号等)及严重程度的评估有助于评估获益与风险,并个体化、合理地选择血管再通治疗。

Intravenous thrombolysis and mechanical thrombectomy have become effective methods for the treatment of acute ischemic stroke caused by arterial occlusion.With the aging of population,cerebral small vessel diseases have attracted more and more attention.Cerebral small vessel diseases will have an important impact on the prognosis of vascular recanalization therapies,which is a “big trouble” for the whole brain.The assessment of different imaging characteristics of cerebral small vessel diseases (“cerebral microbleed”,“white matter hyperintensity”,etc.) and the severity is helpful to evaluate the benefits and risks,and to select individualized and reasonable vascular recanalization therapy.