Detection of Intracranial Arterial Stenosis Using Transcranial Color-Coded Duplex Sonography, Computed Tomographic Angiography, and Digital Subtraction Angiography

Roubec, Martin; Kuliha, Martin; Jonszta, Tomáš; Procházka, Václav; Fadrná, Táňa; Filip, M; Kaňovský, Petr; Langová, Kateřina; Herzig, Roman; Školoudík, David

doi:10.7863/jum.2011.30.8.1069

Cited by 34 publications

(23 citation statements)

References 14 publications

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“…TCD has been proved effective to detect stenosis of intracranial large vessels, previous studies have shown substantial agreement of accuracy between TCD and digital subtraction angiography (DSA, 93.9%), as well as TCD and CT angiography (93.8%) for the evaluation of intracranial stenosis [25] . Compared with magnetic resonance angiography, TCD is cost-efficient and has therefore acquired increased popularity in China.…”

Section: Discussionmentioning

confidence: 99%

The Interventional Effect of Remote Ischemic Preconditioning on Cerebral Small Vessel Disease: A Pilot Randomized Clinical Trial

Mi¹,

Yu²,

et al. 2016

Eur Neurol

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Background: Remote ischemic preconditioning (RIPC) of the limb has been shown to induce ischemic tolerance in basic and clinical studies that focused on sustained large artery occlusion rather than small vessel disease (SVD). This study aimed to evaluate the protective effects of brief repetitive limb RIPC on patients with cerebral SVD. Methods: Seventeen patients with cerebral SVD were enrolled. Patients underwent 5 ischemia-reperfusion cycles of preconditioning/sham preconditioning on both upper limbs twice a day for 1 year. Cerebral hemodynamic indexes, brain lesions, cognitive functions and assessment outcomes of dizziness handicap inventory (DHI) were analyzed. Results: In the RIPC group, the mean flow velocity (MFV) of the left middle cerebral artery (MCA) was accelerated (57.33 (52.33-61.34) vs. 51.33 (48.83-58.33), respectively; p = 0.038), and the post-treatment DHI score was reduced (18 (13-19) vs. 34 (21-45), respectively; p = 0.043). The post-treatment volume of the white matter lesions (WMLs) was also reduced (4.19 (2.96-7.25) vs. 6.06 (4.67-10.95), respectively; p = 0.050). There was no remarkable difference between the 2 groups either before or after treatment. Conclusion: The present study indicates that RIPC has potential beneficial effects on cerebral SVD by increasing the MFV of MCA, decreasing the DHI score as well as the volume of WMLs in patients with SVD.

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Section: Discussionmentioning

confidence: 99%

The Interventional Effect of Remote Ischemic Preconditioning on Cerebral Small Vessel Disease: A Pilot Randomized Clinical Trial

Mi¹,

Yu²,

et al. 2016

Eur Neurol

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“…Furthermore, the measure of asymptomatic ICAS has been obtained from transcranial Doppler ultrasonography, which has a relatively lower sensitivity in identifying ICAS than brain CTA. 30 Why SBP in the early morning, compared with SBP at the other time of the day, was independently and most closely associated with cerebrovascular damage remains unexplained. Nonetheless, previous investigations provided some clues.…”

Section: Discussionmentioning

confidence: 99%

Association Between Ambulatory Systolic Blood Pressure During the Day and Asymptomatic Intracranial Arterial Stenosis

Chen

Li²,

Zhang³

et al. 2014

Hypertension

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This study was undertaken within the framework of an ongoing prospective study on the prognosis of asymptomatic intracranial arterial disease in patients with hypertension. Patients were consecutively recruited either from the outpatient clinic or from the ward of the Department of Hypertension at Ruijin Hospital, a tertiary public general hospital in Shanghai, China, from January 2005 to December 2010. Patients with hypertension were invited to participate in the study if they had ≥2 cardiovascular risk factors defined according to the Chinese hypertension guidelines 18 and were willing to undergo an examination of brain using computerized

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“…TCCS not only detects increased velocity of the blood flow, but also reveals disturbed flow caused by narrowing of the arterial lumen (Accorsi 2013). According to the previous studies, there is substantial agreement between TCCS and DSA (93.9%) and between TCCS and CT angiography (93.8%) for the evaluation of intracranial stenosis (Roubec et al 2011). Therefore, TCCS is a suitable tool for assessing IVAS and performing follow-up for interventional therapy.…”

Section: Discussionmentioning

confidence: 91%

Evaluation of Interventional Therapy for Patients with Intracranial Vertebral Artery Stenosis by Transcranial Color-Coded Sonography

Zhou

Yang

et al. 2016

Ultrasound in Medicine & Biology

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Detection of Intracranial Arterial Stenosis Using Transcranial Color-Coded Duplex Sonography, Computed Tomographic Angiography, and Digital Subtraction Angiography

Abstract: Moderate agreement was found between CT angiography, transcranial color-coded sonography, and digital subtraction angiography in the evaluation of intracranial stenosis. Computed tomographic angiography and digital subtraction angiography are sufficient for assessment of the diagnosis.

Cited by 34 publications

References 14 publications

The Interventional Effect of Remote Ischemic Preconditioning on Cerebral Small Vessel Disease: A Pilot Randomized Clinical Trial

The Interventional Effect of Remote Ischemic Preconditioning on Cerebral Small Vessel Disease: A Pilot Randomized Clinical Trial

Association Between Ambulatory Systolic Blood Pressure During the Day and Asymptomatic Intracranial Arterial Stenosis

Evaluation of Interventional Therapy for Patients with Intracranial Vertebral Artery Stenosis by Transcranial Color-Coded Sonography

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