Lu Guanfeng, He Quanwei, Shen Yan, Cao Fei
a Department of Neurology, Union Hospital, Tongji Medical College , Huazhong University of Science and Technology , Wuhan 430022 , China.
Int J Neurosci. 2018 Jan;128(1):79-89. doi: 10.1080/00207454.2017.1349766. Epub 2017 Jul 20.
Reperfusion therapy contributes to better clinical outcomes in patients with acute ischemic stroke but carries a more significant risk of hemorrhagic transformation (HT) compared to supportive care. Once HT occurs, the outcome is usually poor and this causes a dilemma in the treatment of ischemic stroke. Consequently, early prediction of HT would be extremely helpful for guiding precise treatment of ischemic stroke. In this review, we focus on summarizing biomarkers of HT and elucidating possible mechanisms so as to identify potential biomarkers for predicting HT.
再灌注治疗有助于改善急性缺血性脑卒中患者的临床预后,但与支持性治疗相比,其发生出血性转化(HT)的风险更高。一旦发生HT,预后通常较差,这给缺血性脑卒中的治疗带来了两难境地。因此,HT的早期预测对于指导缺血性脑卒中的精准治疗将非常有帮助。在本综述中,我们专注于总结HT的生物标志物并阐明可能的机制,以便识别预测HT的潜在生物标志物。