隐源性脑卒中颈动脉网的频率及其与脑卒中危险因素的关系。

IF 2 4区医学 Q3 NEUROSCIENCES

Journal of Stroke & Cerebrovascular Diseases Pub Date : 2025-03-15 DOI:10.1016/j.jstrokecerebrovasdis.2025.108295

Ekin Öykü Baylam Yirmibeş (Doctor of Medicine) , Nihat Şengeze (Associate Professor) , Burak Gürel (Doctor of Medicine)

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引用次数: 0

摘要

背景：颈动脉网（CaW）被认为是脑栓塞的罕见来源。本研究旨在了解CaW的患病率、CaW病例的临床资料、危险因素、CaW的形态学特征及其与脑血管疾病的关系，为CaW的分类和今后最合适的治疗方法提供依据。方法：对2016年至2022年期间在 leyman Demirel大学医学院医院和Isparta市医院接受颈动脉计算机断层血管造影（CTA）和/或数字减影血管造影（DSA）的1520例脑血管疾病初步诊断患者的血管造影图像进行检查。31例CaW患者纳入研究。对患者的影像学、实验室检查和临床资料进行回顾性评价。结果：CaW患病率为2.03%。35.5%的CaW患者有症状，最常见的危险因素是高血压。有症状患者CaW长度的最佳阈值为≥2.86 mm。CaW长度与CaW狭窄程度呈中等正线性关系。有症状患者腹膜狭窄程度的最佳阈值确定为≥31.33%。结论：CaW的某些形态学特征增加了脑卒中的发生风险。这些研究结果提示，对CaW形态学特征的评估和分类以及基于这些特征的风险评分系统的开发可能有效地估计卒中风险和计划治疗。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

The frequency of carotid web in cryptogenic stroke and its association with stroke risk factors

查看原文本刊更多论文

The frequency of carotid web in cryptogenic stroke and its association with stroke risk factors

Background

The carotid web (CaW) is considered a rare source of cerebral embolism. The aim of this study is to determine the prevalence of CaW, clinical data of CaW cases, risk factors, morphological features of CaW and its relationship with cerebrovascular disease and to contribute to the classification of CaW and the most appropriate treatment approaches in the future.

Methods

Angiographic images of 1,520 patients who were evaluated with a preliminary diagnosis of cerebrovascular disease and underwent carotid computed tomographic angiography (CTA) and/or digital subtraction angiography (DSA) at Süleyman Demirel University Medical Faculty Hospital and Isparta City Hospital between 2016 and 2022 were examined. 31 CaW patients were included in the study. Radiological imaging, laboratory findings and clinical information of the patients were evaluated retrospectively.

Results

The prevalence of CaW was found to be 2.03 %. 35.5 % of CaW cases were symptomatic and the most common risk factor in these patients were hypertension. The optimum threshold value for CaW length in symptomatic patients was ≥ 2.86 mm. There was a moderate positive linear relationship between CaW length and the degree of CaW stenosis. The optimum threshold value for the degree of web stenosis in symptomatic patients was determined as ≥ 31.33 %.

Conclusion

This study showed that some morphological features of CaW increase the risk of stroke. These findings suggest that the evaluation and classification of the morphological features of CaW and the development of risk scoring systems based on these features may be effective in estimating the risk of stroke and planning treatment.

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来源期刊

Journal of Stroke & Cerebrovascular Diseases Medicine-Surgery

CiteScore

5.00

自引率

4.00%

发文量

583

审稿时长

62 days

期刊介绍： The Journal of Stroke & Cerebrovascular Diseases publishes original papers on basic and clinical science related to the fields of stroke and cerebrovascular diseases. The Journal also features review articles, controversies, methods and technical notes, selected case reports and other original articles of special nature. Its editorial mission is to focus on prevention and repair of cerebrovascular disease. Clinical papers emphasize medical and surgical aspects of stroke, clinical trials and design, epidemiology, stroke care delivery systems and outcomes, imaging sciences and rehabilitation of stroke. The Journal will be of special interest to specialists involved in caring for patients with cerebrovascular disease, including neurologists, neurosurgeons and cardiologists.