Role of transcranial Doppler ultrasonography in evaluation of patients with cerebrovascular disease

被引：0
作者：
Vijay K. Sharma
Georgios Tsivgoulis
Annabelle Y. Lao
Andrei V. Alexandrov
机构：
[1] National University Hospital,Division of Neurology
来源：
Current Neurology and Neuroscience Reports | 2007年 / 7卷
关键词：
Middle Cerebral Artery; Vertebral Artery; Acute Ischemic Stroke; Tissue Plasminogen Activator; Acute Cerebral Ischemia;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Transcranial Doppler ultrasonography (TCD) is the only noninvasive examination method that enables the reliable evaluation of blood flow from the basal intracerebral vessels, adding physiologic information to the anatomic images. TCD is relatively inexpensive, can be performed at bedside, and allows monitoring in acute emergency settings and for prolonged periods with a high temporal resolution, making it ideal for studying dynamic cerebrovascular responses. In acute stroke, TCD is capable of providing rapid information about the hemodynamic status of the cerebral circulation and monitoring recanalization in real-time, with a potential for enhancing tissue plasminogen activator-induced thrombolysis. Extended applications such as emboli monitoring, right-to-left shunt detection, and vasomotor reactivity make TCD an important and valuable tool for evaluating stroke mechanisms, planning and monitoring treatment, and determining prognosis.
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页码：8 / 20
页数：12
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  • [1] Thomassen L.(1995)Tissue plasminogen activator for acute ischemic stroke N Engl J Med 333 1581-1587
  • [2] Waje-Andreassen U.(2005)Doppler ultrasound and clinical findings in patients with acute ischemic stroke treated with intravenous thrombolysis Eur J Neurol 12 462-465
  • [3] Naess H.(2000)Validity and reliability of a quantitative computed tomography score in predicting outcome of hyperacute stroke before thrombolytic therapy Lancet 355 1670-1674
  • [4] Barber P.A.(1998)Role of CT angiography in patient selection for thrombolytic therapy in acute hemispheric stroke Stroke 29 935-938
  • [5] Demchuk A.M.(1999)The yield of transcranial Doppler in acute cerebral ischemia Stroke 30 1605-1609
  • [6] Zhang J.(2005)Yield and accuracy of urgent combined carotid/transcranial ultrasound testing in acute cerebral ischemia Stroke 36 32-37
  • [7] Wildermuth S.(1989)Comparison of cerebral angiography and transcranial Doppler sonography in acute stroke Stroke 20 899-903
  • [8] Knauth M.(1999)TCD, MRA, and MRI in acute cerebral ischemia Acta Neurol Scand 99 65-76
  • [9] Brandt T.(1999)Combined intravenous and intra-arterial r-TPA versus intra-arterial therapy of acute ischemic stroke: Emergency Management of Stroke (EMS) Bridging Trial Stroke 30 2598-2605
  • [10] Alexandrov A.V.(2000)High rate of complete recanalization and dramatic clinical recovery during TPA infusion when continuously monitored by 2 MHz transcranial Doppler monitoring Stroke 31 610-614
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