急性基底动脉闭塞血管内治疗前影像评估与临床预后相关性的研究进展

Recent advance in correlation between imaging evaluation before endovascular treatment of acute basilar artery occlusion and clinical prognoses

急性基底动脉闭塞(ABAO)致残致死率高,其治疗的关键是尽早启动再灌注治疗。研究发现ABAO患者血管内治疗的良好预后率与ABAO梗死部位数目及程度、血管闭塞范围及侧支循环有关。治疗前通过影像评估对患者进行筛选有望进一步提高ABAO的良好预后率。本文现围绕ABAO血管内治疗前影像评估与临床预后的相关性综述如下。

Acute basilar artery occlusion (ABAO) has a high rate of disability and mortality, and the key to its treatment is to start reperfusion therapy as early as possible. A number of retrospective studies have found that the good prognosis rate of endovascular treatment of ABAO is related to number of infarction locus, extent of ABAO, vascular occlusion and collateral circulation. Screening patients through imaging evaluation before endovascular treatment may further improve the rate of favorable outcome. This article reviews research progress on the correlation between imaging evaluation before endovascular treatment of ABAO and clinical prognoses.