Department of Radiology and Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Stroke and Vascular Neurology Program, Department of Neurology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA.
J Neurointerv Surg. 2017 May;9(5):449-450. doi: 10.1136/neurintsurg-2015-011839. Epub 2015 Jun 16.
While the overall complication rates for endovascular treatment for acute stroke has been extremely low in recent trials, it is important to separate out and accurately document complications. One of these complications that is usually related to the endovascular intervention is Infarct in New Territory (INT). We propose a standardized methodology for documenting INT after the procedure. This new classification takes into account variations in vascular anatomy and location of the occlusion. In addition, given that after the recent trials, vascular imaging (eg, CT angiography (CTA)) is now the standard of care in the work up of acute ischemic stroke, this classification utilizes the information on the pre-procedure non-invasive vascular imaging, the angiography images from end of procedure and the location of lesions on the follow-up scan.
虽然最近的临床试验中血管内治疗急性中风的总体并发症发生率极低，但重要的是要将并发症分离出来并准确记录。其中一种通常与血管内干预相关的并发症是新梗死灶（INT）。我们提出了一种标准化的方法来记录手术后的 INT。这种新的分类考虑了血管解剖和闭塞部位的变化。此外，鉴于最近的试验后，血管成像（例如 CT 血管造影（CTA））现在已成为急性缺血性中风检查的标准，这种分类利用了术前非侵入性血管成像的信息、手术结束时的血管造影图像以及随访扫描中病变的位置。
