The Analysis of the Results of Digital Subtraction Angiography in Patients with Transient Ischemic Attack_West China Medical Journal

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Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041,China;

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Keywords：

短暂性缺血发作; 脑缺血; 数字减影血管造影; 危险因素

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目的:以数字减影血管造影(DSA)为手段,分析短暂性脑缺血发作(TIA)患者临床特点及脑供血动脉狭窄或闭塞的发生率。方法:对 2003 年1月至2007 年8 月期间四川大学华西医院神经内科收治且行DSA检查的短暂性缺血发作患者 65 例进行研究。对患者临床特点,动脉病变情况﹑狭窄程度进行分析.结果:65 例TIA患者中发现血管病变有 38 例(58.5%),其中单侧受累 14 例(21.5%),多处受累 24 例(36.9%),中度及重度,闭塞的血管狭窄多见,且多发生在颅外段。结论:DSA可以明确TIA病患者中血管动脉粥样硬化,狭窄程度,这对指导治疗起重要作用。

Citation： YANG Xue,ZHENG Hongbo,WANG Yucai,et al.. The Analysis of the Results of Digital Subtraction Angiography in Patients with Transient Ischemic Attack. West China Medical Journal, 2009, 24(6): 1521-1523. doi: Copy

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2.	NOLTE CH, MLLERNORDHORN J, JUNGEHLSING GJ, et al. Symptoms, risk factors, and etiology of transient ischemic attack and stroke[J]. Der Nervenarzt, 2005, 76(10): 1231..
3.	SHIAOLIN LAI, HSUHUEI WENG, MENG LEE, et al. Risk Factors and Subtype Analysis of Acute Ischemic Stroke[J]. European Neurology, 2008, 60: 230-236..
4.	Dennis MS, Bamford JM, Sandercock PA, et al. A comparison of risk factors and prognosis for transient ischemic attacks and minor ischemic strokes: the oxfordshire community stroke project[J]. Stroke, 1989, 20: 1494-1499..
5.	ROBERT D BROWN, JR GEORGE W PETTY, W MICHAEL O’FALLON, et al. Incidence of Transient Ischemic Attack in Rochester, Minnesota, 19851989[J]. Stroke, 1998, 29: 21092113..
6.	陈军.缺血性脑血管病造影分析[C]. 第二军医大学硕士学位论文, 2006..
7.	黄一宁,高山,黄颜,等.短暂性脑供血不足病变部位的超声和影像研究[J]. 中国医学科学院学报, 1995, 17(4):286-290..
8.	顾平，吴丹岭，黄玉杰，等. 76例短暂性脑缺血发作DSA分析[J]. 脑与神经疾病杂志, 2008, 16(1):23-24..
9.	Mirco Cosottini AP, Michele Puglioli, Maria Chiara Michelassi, et al. Contrastenhanced threedimensional magnetic resonance angiography of atherosclerotic internal carotid stenosis as the noninvasive imaging modality in revascularization decision making[J]. Stroke, 2003, 34:660-664.
10.	JMUKingIm, RAT. Contrastenhanced MR angiography for carotid disease[J]. Neurology, 2004, 62:1282-1290..
11.	M Lemesle, C Milan, J Faivre, et al. Incidence trends of ischemic stroke and transient ischemic attacks in a welldefined french population from 1985 through 1994[J]. Stroke, 1999, 30:371-377..
12.	HISAKAZU UNO, AKIHIKO TAGUCHI, HIROSHI OE, et al. Relationship between detectability of ischemic lesions by diffusionweighted imaging and embolic sources in transient ischemic attacks[J]. Eur Neurol, 2008, 59:38-43..
13.	DEAN CC JOHNSTON, MICHAEL D HILL. The patient with transient cerebral ischemia: a golden opportunity for stroke prevention[J]. CMAJ, 2004, 170:1134-1137..
14.	Editorial. Costeffective investigation of patients with suspected transient ischaemic attacks[J]. Journal of Neurology, Neurosurgery and Psychiatry, 1992, 55:171-176..
15.	Inatomi Y, Kimura K, Yonehara T, et al. DWI abnormalities and clinical characteristics in TIA patients[J]. Neurology, 2004, 62:376-380..

1. WEIMAR C, KRAYWINKEL K,RDL J，et al. Etiology, duration, and prognosis of transient，schemic attacks: an analysis from the German Stroke Data Bank[J]. Archives of Neurology, 2002, 59(10): 1584-1588..
2. NOLTE CH, MLLERNORDHORN J, JUNGEHLSING GJ, et al. Symptoms, risk factors, and etiology of transient ischemic attack and stroke[J]. Der Nervenarzt, 2005, 76(10): 1231..
3. SHIAOLIN LAI, HSUHUEI WENG, MENG LEE, et al. Risk Factors and Subtype Analysis of Acute Ischemic Stroke[J]. European Neurology, 2008, 60: 230-236..
4. Dennis MS, Bamford JM, Sandercock PA, et al. A comparison of risk factors and prognosis for transient ischemic attacks and minor ischemic strokes: the oxfordshire community stroke project[J]. Stroke, 1989, 20: 1494-1499..
5. ROBERT D BROWN, JR GEORGE W PETTY, W MICHAEL O’FALLON, et al. Incidence of Transient Ischemic Attack in Rochester, Minnesota, 19851989[J]. Stroke, 1998, 29: 21092113..
6. 陈军.缺血性脑血管病造影分析[C]. 第二军医大学硕士学位论文, 2006..
7. 黄一宁,高山,黄颜,等.短暂性脑供血不足病变部位的超声和影像研究[J]. 中国医学科学院学报, 1995, 17(4):286-290..
8. 顾平，吴丹岭，黄玉杰，等. 76例短暂性脑缺血发作DSA分析[J]. 脑与神经疾病杂志, 2008, 16(1):23-24..
9. Mirco Cosottini AP, Michele Puglioli, Maria Chiara Michelassi, et al. Contrastenhanced threedimensional magnetic resonance angiography of atherosclerotic internal carotid stenosis as the noninvasive imaging modality in revascularization decision making[J]. Stroke, 2003, 34:660-664.
10. JMUKingIm, RAT. Contrastenhanced MR angiography for carotid disease[J]. Neurology, 2004, 62:1282-1290..
11. M Lemesle, C Milan, J Faivre, et al. Incidence trends of ischemic stroke and transient ischemic attacks in a welldefined french population from 1985 through 1994[J]. Stroke, 1999, 30:371-377..
12. HISAKAZU UNO, AKIHIKO TAGUCHI, HIROSHI OE, et al. Relationship between detectability of ischemic lesions by diffusionweighted imaging and embolic sources in transient ischemic attacks[J]. Eur Neurol, 2008, 59:38-43..
13. DEAN CC JOHNSTON, MICHAEL D HILL. The patient with transient cerebral ischemia: a golden opportunity for stroke prevention[J]. CMAJ, 2004, 170:1134-1137..
14. Editorial. Costeffective investigation of patients with suspected transient ischaemic attacks[J]. Journal of Neurology, Neurosurgery and Psychiatry, 1992, 55:171-176..
15. Inatomi Y, Kimura K, Yonehara T, et al. DWI abnormalities and clinical characteristics in TIA patients[J]. Neurology, 2004, 62:376-380..

West China Medical Journal

The Analysis of the Results of Digital Subtraction Angiography in Patients with Transient Ischemic Attack

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