Transcranial color-coded duplex sonography in suspected acute basilar artery occlusion
Transcranial color-coded duplex sonography (TCDS) is a noninvasive, quick and inexpensive diagnostic tool used routinely to assess vascular abnormalities in cerebral ischemia. The value of TCDS for diagnosis and follow-up of acute basilar artery (BA) ischemia in comparison/combination with spiral CT...
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| Veröffentlicht in: | Ultrasound in medicine & biology 2006-03, Vol.32 (3), p.315-320 |
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| creator | Kermer, Pawel Wellmer, Andreas Crome, Olaf Mohr, Alexander Knauth, Michael Bähr, Mathias |
| description | Transcranial color-coded duplex sonography (TCDS) is a noninvasive, quick and inexpensive diagnostic tool used routinely to assess vascular abnormalities in cerebral ischemia. The value of TCDS for diagnosis and follow-up of acute basilar artery (BA) ischemia in comparison/combination with spiral CT angiography (CTA) and/or digital subtraction angiography (DSA) has not yet been studied. We prospectively studied 15 consecutive patients with clinically suspected acute BA occlusion (BAO) by TCDS as well as 3 to 5 d later in those with proven BAO. BA ischemia was verified in 11 patients. During follow-up, all BAO patients showed recanalization of the BA independent of thrombolytic treatment. In conclusion, TCDS appears to be an efficient method for BAO diagnosis when immediate angiography is not available. Together with CTA it increases diagnostic safety before performing an invasive and cost-intensive DSA. |
| doi_str_mv | 10.1016/j.ultrasmedbio.2005.12.004 |
| format | Article |
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| source | MEDLINE; ScienceDirect Journals (5 years ago - present) |
| subjects | Acute Disease Aged Aged, 80 and over Angiography, Digital Subtraction Arterial Occlusive Diseases - diagnostic imaging Arterial Occlusive Diseases - therapy Basilar Artery - diagnostic imaging Basilar artery occlusion CT angiography Digital subtraction angiography Female Follow-Up Studies Humans Magnetic Resonance Imaging Male Middle Aged Regional Blood Flow Thrombolytic Therapy Tomography, X-Ray Computed Transcranial color-coded duplex sonography Ultrasonography, Doppler, Color - methods Ultrasonography, Doppler, Transcranial - methods |
| title | Transcranial color-coded duplex sonography in suspected acute basilar artery occlusion |
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