Evaluation of neurosonology versus digital subtraction angiography in acute stroke patients

Assarzadegan, Farhad; Mohammadi, Fariba; Lima, Behnam Safarpour; Mansouri, Behnam; Aghamiri, Seyed Hossein; Vaighan, Navideh Sahebi

doi:10.1016/j.jocn.2021.07.030

Cited by 1 publication

(2 citation statements)

References 34 publications

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“…DSA is the gold standard to detect intracranial artery stenosis [49][50][51], but it has some limitations: it is expensive, invasive, not ubiquitously available, and it does not allow to study hemodynamic changes [50,52].…”

Section: Transcranial Color-coded Duplex Sonography In the Evaluation...mentioning

confidence: 99%

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The Role of Transcranial-Color-Doppler in the Management of Basilar Artery Stenosis: Case Series and Systematic Review of Literature

Filidei,

Di Schino,

Allegritti

et al. 2024

J Exp Neurol

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Managing vertebrobasilar (VB) stroke, particularly basilar artery occlusion (BAO), presents challenges due to diverse clinical presentations and intricate diagnostics, risking delays in acute-phase reperfusion therapies. The diagnostic complexities of VB stroke prompt questions about whether presentation tempo influences outcomes. For non-urgent cases of basilar artery stenosis (BAS) lacking guidelines, clinical management becomes case-dependent. Current options include aggressive medical therapy (AMT) and percutaneous transluminal angioplasty and/or stenting (PTAS). However, the choice of PTAS remains debated, with recent trials observing higher-than-expected recurrence rates, particularly in intracranial stenosis. Understanding hemodynamic status is crucial in predicting stroke risk, especially in atherosclerotic VB disease. Recent studies highlighted the role of distal flow status in predicting stroke risk, emphasizing the importance of hemodynamic assessment beyond anatomic measures. Neurosonology, especially transcranial color-coded duplex sonography (TCCS), emerges as a valuable tool for assessing hemodynamics. Despite TCCS being operator-dependent and technically challenging for BAS evaluation, it effectively detects significant hemodynamic changes, providing real-time information on collateral flow. This review explores the potential role of TCCS in managing BA hemodynamic failure in VB stroke, with particular regard to the selection of BAS patients who may benefit from PTAS.

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Section: Transcranial Color-coded Duplex Sonography In the Evaluation...mentioning

confidence: 99%

“…As regards the anterior circulation, TCCS can detect stenosis of internal carotid artery (ICA) with high sensitivity (87.1%), specificity (89.8%), accuracy (88.8%) with an excellent agreement level compared to DSA [49,65].…”

Section: Transcranial Color-coded Duplex Sonography In the Evaluation...mentioning

confidence: 99%

The Role of Transcranial-Color-Doppler in the Management of Basilar Artery Stenosis: Case Series and Systematic Review of Literature

Filidei,

Di Schino,

Allegritti

et al. 2024

J Exp Neurol

View full text Add to dashboard Cite

show abstract

Evaluation of neurosonology versus digital subtraction angiography in acute stroke patients

Cited by 1 publication

References 34 publications

The Role of Transcranial-Color-Doppler in the Management of Basilar Artery Stenosis: Case Series and Systematic Review of Literature

The Role of Transcranial-Color-Doppler in the Management of Basilar Artery Stenosis: Case Series and Systematic Review of Literature

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