A Review of the use of Transcranial Doppler Waveform Morphology for Acute Stroke Assessment
| Autor: | Robert B. Hamilton, Nicolas Canac, Kian Jalaleddini, Samuel G. Thorpe, Amber Y. Dorn |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Ultrasonography Doppler Transcranial Neuroimaging law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Physiology (medical) Internal medicine medicine Humans Acute ischemic stroke Stroke Aged Acute stroke business.industry Ultrasound Treatment options General Medicine Middle Aged medicine.disease Transcranial Doppler Neurology 030220 oncology & carcinogenesis cardiovascular system Cardiology Female Surgery Neurology (clinical) business 030217 neurology & neurosurgery Large vessel occlusion |
| Zdroj: | Journal of Clinical Neuroscience. 81:346-352 |
| ISSN: | 0967-5868 |
| DOI: | 10.1016/j.jocn.2020.09.062 |
| Popis: | Acute ischemic stroke is a source of long-term disability in the United States, of which a large portion of cases are a result of large vessel occlusion (LVO). LVO strokes have high rates of morbidity and mortality due to difficulty of treatments in achieving recanalization. Recently, however, results of randomized clinical trials have shown that treatment options are expanding in both availability and efficacy. As these methods of intervention become more optimal, so must the preceding methods of assessment. Transcranial Doppler (TCD) ultrasound is a non-invasive method of evaluating cerebral hemodynamics, and has a long history in stroke assessment. Despite the importance of information provided by a TCD exam, its utilization in the acute stroke workflow has remained low because of its dependence on expert analysis. Here, we review the evolution of morphological analysis of TCD waveforms for the indication, localization, and monitoring of acute LVO. |
| Databáze: | OpenAIRE |
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