Monitoring cerebral vasospasm: How much can we rely on transcranial Doppler

被引：52

作者：

Samagh, Navneh ^{[1
]}

Bhagat, Hemant ^{[2
]}

Jangra, Kiran ^{[2
]}

机构：

[1] Adesh Inst Med Sci & Res, Dept Anesthesia & Intens Care, Bathinda, Punjab, India

[2] PGIMER, Dept Anesthesia & Intens Care, 4th Floor,Sect 12, Chandigarh 160012, India

来源：

JOURNAL OF ANAESTHESIOLOGY CLINICAL PHARMACOLOGY | 2019年 / 35卷 / 01期

关键词：

Cerebral vasospasm; subarachnoid haemorrhage; transcranial Doppler; BLOOD-FLOW; SUBARACHNOID HEMORRHAGE; VERTEBROBASILAR VASOSPASM; SONOGRAPHY; VELOCITY; HEMODYNAMICS; ANGIOGRAPHY; ARTERY; ULTRASONOGRAPHY; DIAGNOSIS;

D O I：

10.4103/joacp.JOACP_192_17

中图分类号：

R9 [药学];

学科分类号：

1007 ;

摘要：

Cerebral vasospasm leading to delayed cerebral ischaemia is one of the major concerns following subarachnoid haemorrhage (SAH). Various modalities are present for evaluation and detection of cerebral vasospasm that occurs following SAH. They include transcranial Doppler (TCD), computed tomographic angiography (CTA), computed tomographic (CT) perfusion and digital subtraction angiography (DSA). The recent guidelines have advocated the use of TCD and have described it as a reasonable technique for monitoring the development of vasospasm. This review describes the functioning of TCD, the cerebral haemodynamic changes during vasospasm and TCD-based detection of vasospasm. The review shall highlight as to how the TCD derived values are relevant in the settings of neurocritical care. The data in the review have been consolidated based on our search of literature from year 1981 till 2016 using various data base.

引用

页码：12 / 18

页数：7

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