[15O]H2O positron emission tomography determination of cerebral blood flow during balloon test occlusion of the internal carotid artery
To determine the utility of [15O]H2O positron emission tomography (PET) for the quantitative determination of cerebral blood flow in patients undergoing balloon test occlusion of the internal carotid artery. Twenty-two [15O]H2O PET cerebral blood flow studies were completed on 20 patients for whom t...
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| Veröffentlicht in: | American journal of neuroradiology : AJNR 1994-04, Vol.15 (4), p.725-732 |
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| creator | Brunberg, JA Frey, KA Horton, JA Deveikis, JP Ross, DA Koeppe, RA |
| description | To determine the utility of [15O]H2O positron emission tomography (PET) for the quantitative determination of cerebral blood flow in patients undergoing balloon test occlusion of the internal carotid artery.
Twenty-two [15O]H2O PET cerebral blood flow studies were completed on 20 patients for whom temporary or permanent occlusion of the internal carotid artery was being considered because of skull base tumor or internal carotid artery aneurysm. In each study, cerebral blood flow was determined during temporary balloon internal carotid artery occlusion, and again after deflation and removal of the balloon from the internal carotid artery.
Patients were divided into three groups based on clinical and cerebral blood flow response to balloon test occlusion. Studies were classified as group I when associated with no clinical symptomatology and with a cerebral blood flow decrease of less than 10 mL/100 g per minute (16 of 22 patients); as group II when there was no clinical symptomatology and cerebral blood flow fell to 25 to 35 mL/100 g per minute on the occluded side (5 of 22); and as group III when the patient was clinically unable to tolerate test occlusion and had a cerebral blood flow of less than 20 mL/100 g per minute on the occluded side (1 of 22). Neurologic sequelae developed in none of the eight group I patients later undergoing permanent internal carotid artery occlusion. Cerebral infarction developed subsequently in the one group II patient who underwent internal carotid artery occlusion.
During internal carotid artery balloon test occlusion, [15O] H2O PET determination of cerebral blood flow allows rapid quantitative determination of cerebral blood flow throughout the entire brain, predicting the adequacy of collateral flow after permanent occlusion. All patients were able to tolerate the [15O]H2O PET cerebral blood flow determination, and there were no complications of the procedure. |
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Twenty-two [15O]H2O PET cerebral blood flow studies were completed on 20 patients for whom temporary or permanent occlusion of the internal carotid artery was being considered because of skull base tumor or internal carotid artery aneurysm. In each study, cerebral blood flow was determined during temporary balloon internal carotid artery occlusion, and again after deflation and removal of the balloon from the internal carotid artery.
Patients were divided into three groups based on clinical and cerebral blood flow response to balloon test occlusion. Studies were classified as group I when associated with no clinical symptomatology and with a cerebral blood flow decrease of less than 10 mL/100 g per minute (16 of 22 patients); as group II when there was no clinical symptomatology and cerebral blood flow fell to 25 to 35 mL/100 g per minute on the occluded side (5 of 22); and as group III when the patient was clinically unable to tolerate test occlusion and had a cerebral blood flow of less than 20 mL/100 g per minute on the occluded side (1 of 22). Neurologic sequelae developed in none of the eight group I patients later undergoing permanent internal carotid artery occlusion. Cerebral infarction developed subsequently in the one group II patient who underwent internal carotid artery occlusion.
During internal carotid artery balloon test occlusion, [15O] H2O PET determination of cerebral blood flow allows rapid quantitative determination of cerebral blood flow throughout the entire brain, predicting the adequacy of collateral flow after permanent occlusion. All patients were able to tolerate the [15O]H2O PET cerebral blood flow determination, and there were no complications of the procedure.</description><identifier>ISSN: 0195-6108</identifier><identifier>EISSN: 1936-959X</identifier><identifier>PMID: 8010276</identifier><identifier>CODEN: AAJNDL</identifier><language>eng</language><publisher>Oak Brook, IL: Am Soc Neuroradiology</publisher><subject>Aneurysm - physiopathology ; Aneurysm - therapy ; Biological and medical sciences ; Carbon Dioxide - blood ; Carotid Artery Diseases - physiopathology ; Carotid Artery Diseases - therapy ; Carotid Artery, Internal - diagnostic imaging ; Carotid Artery, Internal - physiology ; Catheterization ; Catheterization, Swan-Ganz ; Cerebellum - blood supply ; Cerebrovascular Circulation - physiology ; Collateral Circulation - physiology ; Embolization, Therapeutic ; Follow-Up Studies ; Forecasting ; Humans ; Investigative techniques, diagnostic techniques (general aspects) ; Medical sciences ; Nervous system ; Oxygen Radioisotopes ; Radiology, Interventional ; Radionuclide investigations ; Regional Blood Flow - physiology ; Skull Neoplasms - physiopathology ; Skull Neoplasms - therapy ; Tomography, Emission-Computed</subject><ispartof>American journal of neuroradiology : AJNR, 1994-04, Vol.15 (4), p.725-732</ispartof><rights>1994 INIST-CNRS</rights><rights>Copyright © American Society of Neuroradiology</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8334202/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8334202/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4076715$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8010276$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Brunberg, JA</creatorcontrib><creatorcontrib>Frey, KA</creatorcontrib><creatorcontrib>Horton, JA</creatorcontrib><creatorcontrib>Deveikis, JP</creatorcontrib><creatorcontrib>Ross, DA</creatorcontrib><creatorcontrib>Koeppe, RA</creatorcontrib><title>[15O]H2O positron emission tomography determination of cerebral blood flow during balloon test occlusion of the internal carotid artery</title><title>American journal of neuroradiology : AJNR</title><addtitle>AJNR Am J Neuroradiol</addtitle><description>To determine the utility of [15O]H2O positron emission tomography (PET) for the quantitative determination of cerebral blood flow in patients undergoing balloon test occlusion of the internal carotid artery.
Twenty-two [15O]H2O PET cerebral blood flow studies were completed on 20 patients for whom temporary or permanent occlusion of the internal carotid artery was being considered because of skull base tumor or internal carotid artery aneurysm. In each study, cerebral blood flow was determined during temporary balloon internal carotid artery occlusion, and again after deflation and removal of the balloon from the internal carotid artery.
Patients were divided into three groups based on clinical and cerebral blood flow response to balloon test occlusion. Studies were classified as group I when associated with no clinical symptomatology and with a cerebral blood flow decrease of less than 10 mL/100 g per minute (16 of 22 patients); as group II when there was no clinical symptomatology and cerebral blood flow fell to 25 to 35 mL/100 g per minute on the occluded side (5 of 22); and as group III when the patient was clinically unable to tolerate test occlusion and had a cerebral blood flow of less than 20 mL/100 g per minute on the occluded side (1 of 22). Neurologic sequelae developed in none of the eight group I patients later undergoing permanent internal carotid artery occlusion. Cerebral infarction developed subsequently in the one group II patient who underwent internal carotid artery occlusion.
During internal carotid artery balloon test occlusion, [15O] H2O PET determination of cerebral blood flow allows rapid quantitative determination of cerebral blood flow throughout the entire brain, predicting the adequacy of collateral flow after permanent occlusion. All patients were able to tolerate the [15O]H2O PET cerebral blood flow determination, and there were no complications of the procedure.</description><subject>Aneurysm - physiopathology</subject><subject>Aneurysm - therapy</subject><subject>Biological and medical sciences</subject><subject>Carbon Dioxide - blood</subject><subject>Carotid Artery Diseases - physiopathology</subject><subject>Carotid Artery Diseases - therapy</subject><subject>Carotid Artery, Internal - diagnostic imaging</subject><subject>Carotid Artery, Internal - physiology</subject><subject>Catheterization</subject><subject>Catheterization, Swan-Ganz</subject><subject>Cerebellum - blood supply</subject><subject>Cerebrovascular Circulation - physiology</subject><subject>Collateral Circulation - physiology</subject><subject>Embolization, Therapeutic</subject><subject>Follow-Up Studies</subject><subject>Forecasting</subject><subject>Humans</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Medical sciences</subject><subject>Nervous system</subject><subject>Oxygen Radioisotopes</subject><subject>Radiology, Interventional</subject><subject>Radionuclide investigations</subject><subject>Regional Blood Flow - physiology</subject><subject>Skull Neoplasms - physiopathology</subject><subject>Skull Neoplasms - therapy</subject><subject>Tomography, Emission-Computed</subject><issn>0195-6108</issn><issn>1936-959X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkN2K1TAUhYso43H0EYRcqHeF_DRJeyPIoI4wcG4UBJGQn93TSNock9RynsDXNjJl0KuEvdb6Nns9ag5kYKId-PD1cXPAZOCtILh_2jzL-QfGmA-SXjVXPSaYSnFofn8j_Pj9lh7ROWZfUlwQzD5nXz8lzvGU9Hm6IAcF0uwXXf4KcUQWEpikAzIhRofGEDfk1uSXEzI61FmNQy4oWhvWvIfKBMgvlbTUoNUpFu-QTnVwed48GXXI8GJ_r5svH95_vrlt744fP928u2snRnFpCYdeAKbYECatBMs6SbqBc4YpH0AYDU4a11vsxs70YJ0zhgjtLNVUYMuum7f33PNqZnAWllKvUOfkZ50uKmqv_lcWP6lT_KV6xjqKaQW82QEp_lzriarWZSEEvUBcs5KCcyw5rsaX_256WLFXX_VXu66z1WFMerE-P9g6LIUkvNpe39smf5o2n0DluRZcoURt20a46pSknP0BEF-fgA</recordid><startdate>19940401</startdate><enddate>19940401</enddate><creator>Brunberg, JA</creator><creator>Frey, KA</creator><creator>Horton, JA</creator><creator>Deveikis, JP</creator><creator>Ross, DA</creator><creator>Koeppe, RA</creator><general>Am Soc Neuroradiology</general><general>American Society of Neuroradiology</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19940401</creationdate><title>[15O]H2O positron emission tomography determination of cerebral blood flow during balloon test occlusion of the internal carotid artery</title><author>Brunberg, JA ; Frey, KA ; Horton, JA ; Deveikis, JP ; Ross, DA ; Koeppe, RA</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-h320t-15e86e020b137c7ec3471495530259e6baed7bd8c0df4b8ecddbb16adc2a260c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Aneurysm - physiopathology</topic><topic>Aneurysm - therapy</topic><topic>Biological and medical sciences</topic><topic>Carbon Dioxide - blood</topic><topic>Carotid Artery Diseases - physiopathology</topic><topic>Carotid Artery Diseases - therapy</topic><topic>Carotid Artery, Internal - diagnostic imaging</topic><topic>Carotid Artery, Internal - physiology</topic><topic>Catheterization</topic><topic>Catheterization, Swan-Ganz</topic><topic>Cerebellum - blood supply</topic><topic>Cerebrovascular Circulation - physiology</topic><topic>Collateral Circulation - physiology</topic><topic>Embolization, Therapeutic</topic><topic>Follow-Up Studies</topic><topic>Forecasting</topic><topic>Humans</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Medical sciences</topic><topic>Nervous system</topic><topic>Oxygen Radioisotopes</topic><topic>Radiology, Interventional</topic><topic>Radionuclide investigations</topic><topic>Regional Blood Flow - physiology</topic><topic>Skull Neoplasms - physiopathology</topic><topic>Skull Neoplasms - therapy</topic><topic>Tomography, Emission-Computed</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Brunberg, JA</creatorcontrib><creatorcontrib>Frey, KA</creatorcontrib><creatorcontrib>Horton, JA</creatorcontrib><creatorcontrib>Deveikis, JP</creatorcontrib><creatorcontrib>Ross, DA</creatorcontrib><creatorcontrib>Koeppe, RA</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of neuroradiology : AJNR</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Brunberg, JA</au><au>Frey, KA</au><au>Horton, JA</au><au>Deveikis, JP</au><au>Ross, DA</au><au>Koeppe, RA</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>[15O]H2O positron emission tomography determination of cerebral blood flow during balloon test occlusion of the internal carotid artery</atitle><jtitle>American journal of neuroradiology : AJNR</jtitle><addtitle>AJNR Am J Neuroradiol</addtitle><date>1994-04-01</date><risdate>1994</risdate><volume>15</volume><issue>4</issue><spage>725</spage><epage>732</epage><pages>725-732</pages><issn>0195-6108</issn><eissn>1936-959X</eissn><coden>AAJNDL</coden><abstract>To determine the utility of [15O]H2O positron emission tomography (PET) for the quantitative determination of cerebral blood flow in patients undergoing balloon test occlusion of the internal carotid artery.
Twenty-two [15O]H2O PET cerebral blood flow studies were completed on 20 patients for whom temporary or permanent occlusion of the internal carotid artery was being considered because of skull base tumor or internal carotid artery aneurysm. In each study, cerebral blood flow was determined during temporary balloon internal carotid artery occlusion, and again after deflation and removal of the balloon from the internal carotid artery.
Patients were divided into three groups based on clinical and cerebral blood flow response to balloon test occlusion. Studies were classified as group I when associated with no clinical symptomatology and with a cerebral blood flow decrease of less than 10 mL/100 g per minute (16 of 22 patients); as group II when there was no clinical symptomatology and cerebral blood flow fell to 25 to 35 mL/100 g per minute on the occluded side (5 of 22); and as group III when the patient was clinically unable to tolerate test occlusion and had a cerebral blood flow of less than 20 mL/100 g per minute on the occluded side (1 of 22). Neurologic sequelae developed in none of the eight group I patients later undergoing permanent internal carotid artery occlusion. Cerebral infarction developed subsequently in the one group II patient who underwent internal carotid artery occlusion.
During internal carotid artery balloon test occlusion, [15O] H2O PET determination of cerebral blood flow allows rapid quantitative determination of cerebral blood flow throughout the entire brain, predicting the adequacy of collateral flow after permanent occlusion. All patients were able to tolerate the [15O]H2O PET cerebral blood flow determination, and there were no complications of the procedure.</abstract><cop>Oak Brook, IL</cop><pub>Am Soc Neuroradiology</pub><pmid>8010276</pmid><tpages>8</tpages></addata></record> |
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| identifier | ISSN: 0195-6108 |
| ispartof | American journal of neuroradiology : AJNR, 1994-04, Vol.15 (4), p.725-732 |
| issn | 0195-6108 1936-959X |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; PubMed Central |
| subjects | Aneurysm - physiopathology Aneurysm - therapy Biological and medical sciences Carbon Dioxide - blood Carotid Artery Diseases - physiopathology Carotid Artery Diseases - therapy Carotid Artery, Internal - diagnostic imaging Carotid Artery, Internal - physiology Catheterization Catheterization, Swan-Ganz Cerebellum - blood supply Cerebrovascular Circulation - physiology Collateral Circulation - physiology Embolization, Therapeutic Follow-Up Studies Forecasting Humans Investigative techniques, diagnostic techniques (general aspects) Medical sciences Nervous system Oxygen Radioisotopes Radiology, Interventional Radionuclide investigations Regional Blood Flow - physiology Skull Neoplasms - physiopathology Skull Neoplasms - therapy Tomography, Emission-Computed |
| title | [15O]H2O positron emission tomography determination of cerebral blood flow during balloon test occlusion of the internal carotid artery |
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