Comparison Between Transcranial Color-Coded Duplex Doppler and Contrast Enhanced Transcranial Color-Coded Duplex Doppler After Subarachnoid Aneurysmal Hemorrhage
| Autor: | Aurore Rodrigues, Jacques Duranteau, Alexandre Ladoux, Virginie Tarazona, Pierre Etienne Leblanc, Bernard Vigué, Anatole Harrois |
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| Rok vydání: | 2021 |
| Předmět: |
Middle Cerebral Artery
medicine.medical_specialty Ultrasonography Doppler Transcranial Cerebral arteries Critical Care and Intensive Care Medicine 03 medical and health sciences 0302 clinical medicine Cerebral vasospasm medicine.artery Intensive care medicine Humans Vasospasm Intracranial Prospective Studies Computed tomography angiography medicine.diagnostic_test business.industry Neurointensive care 030208 emergency & critical care medicine Vasospasm Subarachnoid Hemorrhage medicine.disease Transcranial Doppler Neurology (clinical) Radiology Tomography X-Ray Computed business 030217 neurology & neurosurgery Circle of Willis |
| Zdroj: | Neurocritical Care. 36:82-88 |
| ISSN: | 1556-0961 1541-6933 |
| Popis: | Transcranial color-coded duplex Doppler (TCCD) is commonly used to detect and monitor vasospasm in subarachnoid aneurysmal hemorrhage (aSAH). However, contrast enhanced TCCD (CE-TCCD) may be more effective. The objective of this study was to compare the accuracy of TCCD and CE-TCCD in the detection of vasospasm. This study was a prospective comparison of TCCD and CE-TCCD for the detection of vasospasm, using computed tomography angiography (CT Angio) as a reference examination. The setting was the Department of Anesthesiology and Intensive Care at the Bicetre University Hospital in Le Kremlin Bicetre, France. TCCD and CE-TCCD were performed in 47 patients admitted to the intensive care unit (ICU) following aSAH over a 7-month period. TCCD and CE-TCCD were performed at ICU admission and between days 7 and 10. We aimed to visualize the seven intracranial arteries of the circle of Willis. Vasospasm diagnosis was assessed by CT Angio and graded as moderate when the percentage change in arterial diameter since admission was between 25 and 50% or as severe when the percentage change was greater than 50%. On ICU admission, TCCD allowed visualization of all intracranial arteries in 16 (34%) of 47 patients, whereas CE-TCCD allowed visualization of all vessels in 37 (79%) of 47 patients (p |
| Databáze: | OpenAIRE |
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