醒后卒中前循环脑梗死血管取栓的临床研究进展

Clinical research progress of vascular thrombus removal in patients with anterior circulation cerebral infarction of wake-up stroke

醒后卒中(WUS)是指入睡时无急性卒中症状,醒后本人或被他人发现卒中症状的急性脑梗死。因发病时间未明确,临床上常不能静脉溶栓或血管内治疗。随着多模式影像学对缺血半暗带的准确评估和选择,血管内治疗能改善部分WUS患者的预后。现对WUS血管内治疗的临床预后相关因素、多模式血管成像和血管内治疗的研究进展进行综述,以指导临床治疗。

Wake-up stroke(WUS)refers to acute cerebral infarction in which there is no acute stroke symptom when falling asleep,and the stroke symptom is found by oneself or by others after waking up.Due to the unclear onset time,intravenous thrombolysis or intravascular treatment is often not clinically possible.With the accurate evaluation and selection of ischemic penumbra by multimodal imaging,endovascular treatment is able to improve the prognosis of some WUS patients.This article summarizes the clinical prognosis-related factors of endovascular treatment in WUS and the research progress of multimodal angiography and endovascular treatment,so as to guide clinical treatment.