The intracranial B-waves' amplitude as prognostication criterion of neurological complications in neuroendovascular interventions.
Acta Neurochir Suppl
; 94: 53-8, 2005.
Article
en En
| MEDLINE
| ID: mdl-16060241
ABSTRACT
The purpose of this study was to evaluate dynamics of B-waves' amplitudes (BWA) of blood flow velocity (BFV) in patients with cerebrovascular diseases during endovascular operations. We examined 12 patients with neurovascular pathology during neuroendovascular interventions. Patients were divided into two groups 1st group (6 cases)--without intraoperative neurological complications, 2nd group (6 cases)--with complications. Bilateral monitoring of BFV in middle cerebral arteries was carried out applying Multi Dop X. To estimate BWA Fourier analysis was used. In the 1st group preoperative BWA on the affected side was 3.9 +/- 0.6 cm/s. Intraoperative (during an access to pathologic formation and its embolisation) BWA increased up to 7.7 +/- 1.1 cm/s (p < 0.05). Postoperative BWA decreased to 4.2 +/- 0.8 cm/s. In the 2nd group the preoperative BWA on the affected side was 9.6 +/- 1.1 cm/s (p < 0.05), thus higher than in the 1st group. Intraoperatively we observed further increase of BWA up to 12.1 +/- 2.6 cm/s, accompanied by occurrence or increase of neurological symptoms. Postoperative BWA decreased to 10.4 +/- 2.9 cm/s, whereas we didn't observe regression of neurological symptoms.
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Base de datos:
MEDLINE
Asunto principal:
Procedimientos Quirúrgicos Vasculares
/
Interpretación de Imagen Asistida por Computador
/
Trastornos Cerebrovasculares
/
Ultrasonografía Doppler Transcraneal
/
Ultrasonografía Intervencional
/
Procedimientos Neuroquirúrgicos
Tipo de estudio:
Clinical_trials
/
Prognostic_studies
Idioma:
En
Revista:
Acta Neurochir Suppl
Año:
2005
Tipo del documento:
Article