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Abstract #3352

Association of Systemic inflammatory response index with intracranial plaque vulnerability and the severity of ischemic events

Xiaofan Wei1, Wei Zhang1, Jie Cheng2, Limin Zhang1, Ruoyu Xu1, and Xiaoyong Zhang3
1The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China, 2Third Military Medical University(Army Medical University), Chongqing, China, 3Clinical Science, Philips Healthcare, Chengdu, China

Synopsis

Keywords: Atherosclerosis, Atherosclerosis, High-resolution magnetic resonance vessel wall imaging; Systemic Inflammatory Response Index

Motivation: The activation of inflammation can aggravate plaque rupture, thrombosis and cause brain tissue ischemia and infarction. Looking for reliable inflammatory markers might provide potential targets for the treatment of atherosclerosis patients.

Goal(s): We investigated the relationship between systemic inflammatory response index (SIRI)and intracranial plaque features, as well as the risk factors related to the severity of cerebral ischemic events.

Approach: Compare the differences in imaging features and SIRI among patients with transient ischemic attack, mild stroke, and moderate-severe stroke.

Results: SIRI levels were significantly associated with plaque vulnerable characteristics and burden. Higher SIRIlevels and plaque featureswere independently related to moderate-severe stroke.

Impact: Our study suggested that immune inflammation may have adverse effects on intracranial atherosclerosis, and link to the severity of cerebral ischemic events. Therefore, the regulation of immune inflammation may be a potential therapeutic target for sICAD.

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