Preoperative Determination of Stroke Risk with ECD SPECT before Therapeutic Carotid Artery Occlusion

Autor: J. A. Kinser, Gerhard Schroth, J. P. Wielepp, R. Häusler, D. Lüscher, T. Mende
Rok vydání: 1999
Předmět:
Zdroj: Radioactive Isotopes in Clinical Medicine and Research XXIII ISBN: 9783034897723
DOI: 10.1007/978-3-0348-8782-3_54
Popis: The CBF evaluation with ECD SPECT allows a sensitive identification of clinically inapparent cerebral perfusion disturbances during the balloon occlusion test (BOT). A symmetric perfusion pattern or only slight defects with an asymmetry less than 9% and no neurological symptoms during the BOT means only a low risk for stroke after sacrifice of the ICA. However, a hemispheric or territorial perfusion defect with an asymmetry of greater than 9% or the occurence of neurological symptoms during the BOT is associated with a high risk for a stroke after permanent occlusion or resection of the ICA.
Databáze: OpenAIRE