Angiographic and Hemodynamic Features in Asymptomatic Hemispheres of Patients With Moyamoya Disease
There is also a risk of stroke in the asymptomatic hemispheres of moyamoya disease (MMD), but it does not draw enough attention. The study investigated the differences between the three types of asymptomatic hemispheres in MMD and their associations with the two types of symptomatic hemispheres, res...
Gespeichert in:
| Veröffentlicht in: | Stroke (1970) 2022-01, Vol.53 (1), p.210-217 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 217 |
|---|---|
| container_issue | 1 |
| container_start_page | 210 |
| container_title | Stroke (1970) |
| container_volume | 53 |
| creator | Sun, Haogeng Li, Wanjiang Xia, Chao Ren, Yutao Ma, Lu Xiao, Anqi You, Chao Liu, Yi Tian, Rui |
| description | There is also a risk of stroke in the asymptomatic hemispheres of moyamoya disease (MMD), but it does not draw enough attention. The study investigated the differences between the three types of asymptomatic hemispheres in MMD and their associations with the two types of symptomatic hemispheres, respectively.
Retrospectively reviewed clinical and imaging characteristics of asymptomatic and symptomatic hemispheres in consecutive cases of single-center MMD patients, with an emphasis on imaging characterization regarding vascular morphology and cerebral perfusion. MMD hemispheres were categorized into 5 types: hemorrhagic hemispheres, ischemic hemispheres, asymptomatic hemispheres in unilateral hemorrhagic MMD, asymptomatic hemispheres in unilateral ischemic MMD, and bilateral asymptomatic hemispheres in MMD. Angiographic feature was assessed by Suzuki's angiographic stage, while hemodynamic feature was assessed by preinfarction period stage.
One hundred ninety-four MMD patients with 388 hemispheres were enrolled. Asymptomatic hemispheres in unilateral hemorrhagic MMD were largely similar to hemorrhagic hemispheres, both had more advanced Suzuki's angiographic stage and lower degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral ischemic MMD. Asymptomatic hemispheres in unilateral ischemic MMD were similar to ischemic hemispheres, both had less advanced Suzuki's angiographic stage and higher degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral hemorrhagic MMD. Bilateral asymptomatic hemispheres in MMD were different from the other hemispheres and had less advanced Suzuki's angiographic stage and lower degree of hemodynamic failure.
The three types of asymptomatic hemispheres in MMD are defined and have unique angiographic and hemodynamic features. Different combinations of the two features can reflect the tendency of pathological evolution in these different asymptomatic hemispheres. |
| doi_str_mv | 10.1161/STROKEAHA.121.035296 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2575363213</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2575363213</sourcerecordid><originalsourceid>FETCH-LOGICAL-c353t-722a736c542ce9e35d23da408e521f04560298dce1f163688812d2b890ec2fcf3</originalsourceid><addsrcrecordid>eNo9kE1PwkAQhjdGI4j-A2N69FLcnf1ge2wQxIjBKMZjs2ynUEM_7LaH_nuXgB4mk5n3nY88hNwyOmZMsYeP9fvqZRYv4jEDNqZcQqTOyJBJEKFQoM_JkFIehSCiaECunPumlALX8pIMuJBiEoEaEhuX27zaNqbe5TYwZRossKjSvjSFr-do2q5BF-RlELu-qNuqMK0XvCl39Q4PWpUFb76JZeuCr7zdBa9VbwofwWPu0Di8JheZ2Tu8OeUR-ZzP1tNFuFw9PU_jZWi55G04ATATrqwUYDFCLlPgqRFUowSWUSEVhUinFlnGFFdaawYpbHRE0UJmMz4i98e9dVP9dOjaxD9pcb83JVadS0BOJFccGPdWcbTapnKuwSypm7wwTZ8wmhzwJv94E483OeL1Y3enC92mwPR_6I8n_wVPBncj</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2575363213</pqid></control><display><type>article</type><title>Angiographic and Hemodynamic Features in Asymptomatic Hemispheres of Patients With Moyamoya Disease</title><source>MEDLINE</source><source>American Heart Association Journals</source><source>Journals@Ovid Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><source>Alma/SFX Local Collection</source><creator>Sun, Haogeng ; Li, Wanjiang ; Xia, Chao ; Ren, Yutao ; Ma, Lu ; Xiao, Anqi ; You, Chao ; Liu, Yi ; Tian, Rui</creator><creatorcontrib>Sun, Haogeng ; Li, Wanjiang ; Xia, Chao ; Ren, Yutao ; Ma, Lu ; Xiao, Anqi ; You, Chao ; Liu, Yi ; Tian, Rui</creatorcontrib><description>There is also a risk of stroke in the asymptomatic hemispheres of moyamoya disease (MMD), but it does not draw enough attention. The study investigated the differences between the three types of asymptomatic hemispheres in MMD and their associations with the two types of symptomatic hemispheres, respectively.
Retrospectively reviewed clinical and imaging characteristics of asymptomatic and symptomatic hemispheres in consecutive cases of single-center MMD patients, with an emphasis on imaging characterization regarding vascular morphology and cerebral perfusion. MMD hemispheres were categorized into 5 types: hemorrhagic hemispheres, ischemic hemispheres, asymptomatic hemispheres in unilateral hemorrhagic MMD, asymptomatic hemispheres in unilateral ischemic MMD, and bilateral asymptomatic hemispheres in MMD. Angiographic feature was assessed by Suzuki's angiographic stage, while hemodynamic feature was assessed by preinfarction period stage.
One hundred ninety-four MMD patients with 388 hemispheres were enrolled. Asymptomatic hemispheres in unilateral hemorrhagic MMD were largely similar to hemorrhagic hemispheres, both had more advanced Suzuki's angiographic stage and lower degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral ischemic MMD. Asymptomatic hemispheres in unilateral ischemic MMD were similar to ischemic hemispheres, both had less advanced Suzuki's angiographic stage and higher degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral hemorrhagic MMD. Bilateral asymptomatic hemispheres in MMD were different from the other hemispheres and had less advanced Suzuki's angiographic stage and lower degree of hemodynamic failure.
The three types of asymptomatic hemispheres in MMD are defined and have unique angiographic and hemodynamic features. Different combinations of the two features can reflect the tendency of pathological evolution in these different asymptomatic hemispheres.</description><identifier>ISSN: 0039-2499</identifier><identifier>EISSN: 1524-4628</identifier><identifier>DOI: 10.1161/STROKEAHA.121.035296</identifier><identifier>PMID: 34547926</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Asymptomatic Diseases ; Brain - diagnostic imaging ; Brain - physiopathology ; Cerebral Angiography - methods ; Cerebrovascular Circulation - physiology ; Cross-Sectional Studies ; Female ; Hemodynamics - physiology ; Humans ; Male ; Middle Aged ; Moyamoya Disease - diagnostic imaging ; Moyamoya Disease - physiopathology ; Retrospective Studies ; Young Adult</subject><ispartof>Stroke (1970), 2022-01, Vol.53 (1), p.210-217</ispartof><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c353t-722a736c542ce9e35d23da408e521f04560298dce1f163688812d2b890ec2fcf3</citedby><cites>FETCH-LOGICAL-c353t-722a736c542ce9e35d23da408e521f04560298dce1f163688812d2b890ec2fcf3</cites><orcidid>0000-0003-3328-3986 ; 0000-0001-6474-7988 ; 0000-0002-9973-7808</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,781,785,3688,27925,27926</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34547926$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sun, Haogeng</creatorcontrib><creatorcontrib>Li, Wanjiang</creatorcontrib><creatorcontrib>Xia, Chao</creatorcontrib><creatorcontrib>Ren, Yutao</creatorcontrib><creatorcontrib>Ma, Lu</creatorcontrib><creatorcontrib>Xiao, Anqi</creatorcontrib><creatorcontrib>You, Chao</creatorcontrib><creatorcontrib>Liu, Yi</creatorcontrib><creatorcontrib>Tian, Rui</creatorcontrib><title>Angiographic and Hemodynamic Features in Asymptomatic Hemispheres of Patients With Moyamoya Disease</title><title>Stroke (1970)</title><addtitle>Stroke</addtitle><description>There is also a risk of stroke in the asymptomatic hemispheres of moyamoya disease (MMD), but it does not draw enough attention. The study investigated the differences between the three types of asymptomatic hemispheres in MMD and their associations with the two types of symptomatic hemispheres, respectively.
Retrospectively reviewed clinical and imaging characteristics of asymptomatic and symptomatic hemispheres in consecutive cases of single-center MMD patients, with an emphasis on imaging characterization regarding vascular morphology and cerebral perfusion. MMD hemispheres were categorized into 5 types: hemorrhagic hemispheres, ischemic hemispheres, asymptomatic hemispheres in unilateral hemorrhagic MMD, asymptomatic hemispheres in unilateral ischemic MMD, and bilateral asymptomatic hemispheres in MMD. Angiographic feature was assessed by Suzuki's angiographic stage, while hemodynamic feature was assessed by preinfarction period stage.
One hundred ninety-four MMD patients with 388 hemispheres were enrolled. Asymptomatic hemispheres in unilateral hemorrhagic MMD were largely similar to hemorrhagic hemispheres, both had more advanced Suzuki's angiographic stage and lower degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral ischemic MMD. Asymptomatic hemispheres in unilateral ischemic MMD were similar to ischemic hemispheres, both had less advanced Suzuki's angiographic stage and higher degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral hemorrhagic MMD. Bilateral asymptomatic hemispheres in MMD were different from the other hemispheres and had less advanced Suzuki's angiographic stage and lower degree of hemodynamic failure.
The three types of asymptomatic hemispheres in MMD are defined and have unique angiographic and hemodynamic features. Different combinations of the two features can reflect the tendency of pathological evolution in these different asymptomatic hemispheres.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Asymptomatic Diseases</subject><subject>Brain - diagnostic imaging</subject><subject>Brain - physiopathology</subject><subject>Cerebral Angiography - methods</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Moyamoya Disease - diagnostic imaging</subject><subject>Moyamoya Disease - physiopathology</subject><subject>Retrospective Studies</subject><subject>Young Adult</subject><issn>0039-2499</issn><issn>1524-4628</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1PwkAQhjdGI4j-A2N69FLcnf1ge2wQxIjBKMZjs2ynUEM_7LaH_nuXgB4mk5n3nY88hNwyOmZMsYeP9fvqZRYv4jEDNqZcQqTOyJBJEKFQoM_JkFIehSCiaECunPumlALX8pIMuJBiEoEaEhuX27zaNqbe5TYwZRossKjSvjSFr-do2q5BF-RlELu-qNuqMK0XvCl39Q4PWpUFb76JZeuCr7zdBa9VbwofwWPu0Di8JheZ2Tu8OeUR-ZzP1tNFuFw9PU_jZWi55G04ATATrqwUYDFCLlPgqRFUowSWUSEVhUinFlnGFFdaawYpbHRE0UJmMz4i98e9dVP9dOjaxD9pcb83JVadS0BOJFccGPdWcbTapnKuwSypm7wwTZ8wmhzwJv94E483OeL1Y3enC92mwPR_6I8n_wVPBncj</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Sun, Haogeng</creator><creator>Li, Wanjiang</creator><creator>Xia, Chao</creator><creator>Ren, Yutao</creator><creator>Ma, Lu</creator><creator>Xiao, Anqi</creator><creator>You, Chao</creator><creator>Liu, Yi</creator><creator>Tian, Rui</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3328-3986</orcidid><orcidid>https://orcid.org/0000-0001-6474-7988</orcidid><orcidid>https://orcid.org/0000-0002-9973-7808</orcidid></search><sort><creationdate>202201</creationdate><title>Angiographic and Hemodynamic Features in Asymptomatic Hemispheres of Patients With Moyamoya Disease</title><author>Sun, Haogeng ; Li, Wanjiang ; Xia, Chao ; Ren, Yutao ; Ma, Lu ; Xiao, Anqi ; You, Chao ; Liu, Yi ; Tian, Rui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c353t-722a736c542ce9e35d23da408e521f04560298dce1f163688812d2b890ec2fcf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Asymptomatic Diseases</topic><topic>Brain - diagnostic imaging</topic><topic>Brain - physiopathology</topic><topic>Cerebral Angiography - methods</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Moyamoya Disease - diagnostic imaging</topic><topic>Moyamoya Disease - physiopathology</topic><topic>Retrospective Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sun, Haogeng</creatorcontrib><creatorcontrib>Li, Wanjiang</creatorcontrib><creatorcontrib>Xia, Chao</creatorcontrib><creatorcontrib>Ren, Yutao</creatorcontrib><creatorcontrib>Ma, Lu</creatorcontrib><creatorcontrib>Xiao, Anqi</creatorcontrib><creatorcontrib>You, Chao</creatorcontrib><creatorcontrib>Liu, Yi</creatorcontrib><creatorcontrib>Tian, Rui</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Stroke (1970)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sun, Haogeng</au><au>Li, Wanjiang</au><au>Xia, Chao</au><au>Ren, Yutao</au><au>Ma, Lu</au><au>Xiao, Anqi</au><au>You, Chao</au><au>Liu, Yi</au><au>Tian, Rui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Angiographic and Hemodynamic Features in Asymptomatic Hemispheres of Patients With Moyamoya Disease</atitle><jtitle>Stroke (1970)</jtitle><addtitle>Stroke</addtitle><date>2022-01</date><risdate>2022</risdate><volume>53</volume><issue>1</issue><spage>210</spage><epage>217</epage><pages>210-217</pages><issn>0039-2499</issn><eissn>1524-4628</eissn><abstract>There is also a risk of stroke in the asymptomatic hemispheres of moyamoya disease (MMD), but it does not draw enough attention. The study investigated the differences between the three types of asymptomatic hemispheres in MMD and their associations with the two types of symptomatic hemispheres, respectively.
Retrospectively reviewed clinical and imaging characteristics of asymptomatic and symptomatic hemispheres in consecutive cases of single-center MMD patients, with an emphasis on imaging characterization regarding vascular morphology and cerebral perfusion. MMD hemispheres were categorized into 5 types: hemorrhagic hemispheres, ischemic hemispheres, asymptomatic hemispheres in unilateral hemorrhagic MMD, asymptomatic hemispheres in unilateral ischemic MMD, and bilateral asymptomatic hemispheres in MMD. Angiographic feature was assessed by Suzuki's angiographic stage, while hemodynamic feature was assessed by preinfarction period stage.
One hundred ninety-four MMD patients with 388 hemispheres were enrolled. Asymptomatic hemispheres in unilateral hemorrhagic MMD were largely similar to hemorrhagic hemispheres, both had more advanced Suzuki's angiographic stage and lower degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral ischemic MMD. Asymptomatic hemispheres in unilateral ischemic MMD were similar to ischemic hemispheres, both had less advanced Suzuki's angiographic stage and higher degree of hemodynamic failure compared with bilateral asymptomatic hemispheres in MMD and asymptomatic hemispheres in unilateral hemorrhagic MMD. Bilateral asymptomatic hemispheres in MMD were different from the other hemispheres and had less advanced Suzuki's angiographic stage and lower degree of hemodynamic failure.
The three types of asymptomatic hemispheres in MMD are defined and have unique angiographic and hemodynamic features. Different combinations of the two features can reflect the tendency of pathological evolution in these different asymptomatic hemispheres.</abstract><cop>United States</cop><pmid>34547926</pmid><doi>10.1161/STROKEAHA.121.035296</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-3328-3986</orcidid><orcidid>https://orcid.org/0000-0001-6474-7988</orcidid><orcidid>https://orcid.org/0000-0002-9973-7808</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0039-2499 |
| ispartof | Stroke (1970), 2022-01, Vol.53 (1), p.210-217 |
| issn | 0039-2499 1524-4628 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2575363213 |
| source | MEDLINE; American Heart Association Journals; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adolescent Adult Aged Asymptomatic Diseases Brain - diagnostic imaging Brain - physiopathology Cerebral Angiography - methods Cerebrovascular Circulation - physiology Cross-Sectional Studies Female Hemodynamics - physiology Humans Male Middle Aged Moyamoya Disease - diagnostic imaging Moyamoya Disease - physiopathology Retrospective Studies Young Adult |
| title | Angiographic and Hemodynamic Features in Asymptomatic Hemispheres of Patients With Moyamoya Disease |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-18T13%3A39%3A14IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Angiographic%20and%20Hemodynamic%20Features%20in%20Asymptomatic%20Hemispheres%20of%20Patients%20With%20Moyamoya%20Disease&rft.jtitle=Stroke%20(1970)&rft.au=Sun,%20Haogeng&rft.date=2022-01&rft.volume=53&rft.issue=1&rft.spage=210&rft.epage=217&rft.pages=210-217&rft.issn=0039-2499&rft.eissn=1524-4628&rft_id=info:doi/10.1161/STROKEAHA.121.035296&rft_dat=%3Cproquest_cross%3E2575363213%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2575363213&rft_id=info:pmid/34547926&rfr_iscdi=true |