Role of computed tomography angiography and perfusion tomography in diagnosing brain death: A systematic review

被引：25

作者：

Brasil, Sergio ^{[1
]}

Bor-Seng-Shu, Edson ^{[1
]}

de-Lima-Oliveira, Marcelo ^{[1
]}

Azevedo, Milena K. ^{[1
]}

Teixeira, Manoel J. ^{[1
]}

Bernardo, Luca ^{[2
]}

Bernardo, Wanderley M. ^{[2
]}

机构：

[1] Univ Sao Paulo, Sch Med, Hosp Clin, Div Neurol Surg, Sao Paulo, Brazil

[2] Univ Sao Paulo, Sch Med, Sao Paulo, Brazil

来源：

JOURNAL OF NEURORADIOLOGY | 2016年 / 43卷 / 02期

关键词：

Brain death; Angiography; Computed perfusion tomography; Computed tomography angiography; NEUROLOGICAL DETERMINATION; CONFIRMATORY TESTS; ANCILLARY TESTS; CT ANGIOGRAPHY; BLOOD-FLOW; SPECT;

D O I：

10.1016/j.neurad.2015.07.006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Several complications make the diagnosis of brain death (BD) medically chal-lenging and a complimentary method is needed for confirmation. In this context, computed tomography angiography (CTA) and computed tomography perfusion (CTP) could represent valuable alternatives; however, the reliability of CTA and CTP for confirming brain circulatory arrest remains unclear. Methods: A systematic review was performed to identify relevant studies regarding the use of CTA and CTP as ancillary tests for BD confirmation. Results: Three hundred twenty-two patients were eligible for the meta-analysis, which exhibited 87.5% sensitivity. CTA image evaluation protocol exhibited variations between medical institutions regarding which intracranial vessels should be considered to determine positive or negative test results. Conclusions: For patients who were previously diagnosed with BD according to clinical criteria, CTA demonstrated high sensitivity to provide radiologic confirmation. The current evidence that supports the use of CTA in BD diagnosis is comparable to other methods applied worldwide. (C) 2015 Elsevier Masson SAS. All rights reserved.

引用

页码：133 / 140

页数：8

共 45 条

[21]

Kricheff I I, 1978, Ann N Y Acad Sci, V315, P168, DOI 10.1111/j.1749-6632.1978.tb50338.x

[22] The role of spiral CT for the assessment of the intracranial circulation in suspected brain-death [J].

Leclerc, X. ;

Taschner, C. A. ;

Vidal, A. ;

Strecker, G. ;

Savage, J. ;

Gauvrit, J. Y. ;

Pruvo, J. P. .

JOURNAL OF NEURORADIOLOGY, 2006, 33 (02) :90-95

[23]

LYNN J, 1981, JAMA-J AM MED ASSOC, V246, P2184

[24]

Marchand A, 2014, J NEURORADIOL

[25] Confirmatory tests in the diagnosis of brain death: Comparison between SPECT and contrast angiography [J].

Munari, Marina ;

Zucchetta, Pietro ;

Carollo, Carla ;

Gallo, Franco ;

De Nardin, Marco ;

Marzola, Maria Cristina ;

Ferretti, Stefano ;

Facco, Enrico .

CRITICAL CARE MEDICINE, 2005, 33 (09) :2068-2073

[26] Limitations of computed tomographic angiography in the diagnosis of brain death [J].

Quesnel, Christophe ;

Fulgencio, Jean-Pierre ;

Adrie, Christophe ;

Marro, Beatrice ;

Payen, Laurent ;

Lembert, Nadege ;

El Metaoua, Sonia ;

Bonnet, Francis .

INTENSIVE CARE MEDICINE, 2007, 33 (12) :2129-2135

[27] Computed tomographic angiography for diagnosis of brain death [J].

Qureshi, AI ;

Kirmani, JF ;

Xavier, AR ;

Siddiqui, AM .

NEUROLOGY, 2004, 62 (04) :652-653

[28] Computed tomography angiography (CTA) to prove circulatory arrest for the diagnosis of brain death in the context of organ transplantation [J].

Rieke, Alexander ;

Regli, Bruno ;

Mattle, Heinrich P. ;

Brekenfeld, Caspar ;

Gralla, Jan ;

Schroth, Gerhard ;

Ozdoba, Christoph .

SWISS MEDICAL WEEKLY, 2011, 141

[29]

Roberts DJ, 2010, CAN J ANESTH, V57, P927, DOI 10.1007/s12630-010-9359-4

[30] Cerebral venous thrombosis and multidetector CT angiography:: Tips and tricks [J].

Rodallec, Mathieu H. ;

Krainik, Alexandre ;

Feydy, Antoine ;

Helias, Annick ;

Colombani, Jean-Michel ;

Julles, Marie-Christine ;

Marteau, Veronique ;

Zins, Marc .

RADIOGRAPHICS, 2006, 26 :S5-U15

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