Predicting Hemodynamic Changes of Cerebral Blood Flow during Temporal Carotid Occlusion: A Review of Current Knowledge with Implication for Carotid Artery Stenting
| Autor: | Cyril Stechovsky, Martin Horváth, Josef Veselka, Petr Hájek, Miloslav Spacek |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Carotid endarterectomy medicine.disease Collateral circulation Article Transcranial Doppler Cerebral circulation Cerebral blood flow Carotid artery disease medicine Radiology Carotid stenting Cardiology and Cardiovascular Medicine business Stroke |
| Zdroj: | International Journal of Angiology. 24:210-214 |
| ISSN: | 1615-5939 1061-1711 |
| Popis: | Carotid artery disease (CAD) plays an important role in the stroke development and its prevalence increases with aging of the population. Its wide variability of clinical manifestation ranges from incidental asymptomatic finding to devastating or fatal stroke, although cerebral collateral circulation is considered one of the major modifying factors. Over time, carotid artery stenting (CAS) has evolved into a reputable method for the treatment of patients with severe CAD. With expanding use of proximal protection systems resembling surgical clamp, there is an increasing demand to understand collateral cerebral circulation to protect patients from periprocedural hypoperfusion, which increases the risk of cerebral events. Transcranial Doppler ultrasound (TCD) is a useful tool allowing monitoring in real time during procedure patient́s cerebral hemodynamic status providing the operator with valuable information. Its role in predicting periprocedural hypoperfusion is, however, less well established. In this article, we discuss the role of cerebral collateral circulation, summarize the current knowledge regarding its evaluation with TCD and suggest future implications for CAS. |
| Databáze: | OpenAIRE |
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