Abstract
Objectives. To review techniques and the most important clinical applications of microembolus detection with transcranial Doppler. Development. Technical aspects of microembolus detection are discussed initially; clinical circumstances in which embolus detection is currently used follow, such as carotid stenosis, cardiac pathology, monitoring during neuroangiography, coronary revascularization surgery and endarterectomy. Lastly, the potential clinical applications of this technique are reviewed.' localization of an embolic source, risk of recurrent ischemia in patients with unstable atherosclerotic plaques, intraoperative monitoring and potential surgical technique modifications based on this information, contributions to the understanding of the pathophysiology of the fat embolism syndrome, and monitoring therapeutic efficacy of antithrombotics and thrombolytics. Conclusions. The ability to detect cerebral emboli with transcranial ultrasound has increased significantly our understanding about the pathogenesis of cerebral ischemia. Microembolus detection with transcranial Doppler is a poweful and novel diagnostic technique that allows to study the embolic process in vivo and in real time, instead of using indirect indicators of embolism (clinical and radiological features, possible embolic sources, etc.).
| Original language | Spanish |
|---|---|
| Pages (from-to) | 1046-1053 |
| Number of pages | 8 |
| Journal | Revista de Neurologia |
| Volume | 31 |
| Issue number | 11 |
| State | Published - Dec 1 2000 |
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Keywords
- Carotid endarterectomy
- Cerebral embolism
- Embolus detection
- Surgical monitoring
- Transcranial Doppler
- Ultrasonography
ASJC Scopus subject areas
- Clinical Neurology
Cite this
Detección de microémbolos con Doppler transcraneal. / Forteza, A. M.; Koch, Sebastian; Romano, Jose G; Babikian, V. L.
In: Revista de Neurologia, Vol. 31, No. 11, 01.12.2000, p. 1046-1053.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Detección de microémbolos con Doppler transcraneal
AU - Forteza, A. M.
AU - Koch, Sebastian
AU - Romano, Jose G
AU - Babikian, V. L.
PY - 2000/12/1
Y1 - 2000/12/1
N2 - Objectives. To review techniques and the most important clinical applications of microembolus detection with transcranial Doppler. Development. Technical aspects of microembolus detection are discussed initially; clinical circumstances in which embolus detection is currently used follow, such as carotid stenosis, cardiac pathology, monitoring during neuroangiography, coronary revascularization surgery and endarterectomy. Lastly, the potential clinical applications of this technique are reviewed.' localization of an embolic source, risk of recurrent ischemia in patients with unstable atherosclerotic plaques, intraoperative monitoring and potential surgical technique modifications based on this information, contributions to the understanding of the pathophysiology of the fat embolism syndrome, and monitoring therapeutic efficacy of antithrombotics and thrombolytics. Conclusions. The ability to detect cerebral emboli with transcranial ultrasound has increased significantly our understanding about the pathogenesis of cerebral ischemia. Microembolus detection with transcranial Doppler is a poweful and novel diagnostic technique that allows to study the embolic process in vivo and in real time, instead of using indirect indicators of embolism (clinical and radiological features, possible embolic sources, etc.).
AB - Objectives. To review techniques and the most important clinical applications of microembolus detection with transcranial Doppler. Development. Technical aspects of microembolus detection are discussed initially; clinical circumstances in which embolus detection is currently used follow, such as carotid stenosis, cardiac pathology, monitoring during neuroangiography, coronary revascularization surgery and endarterectomy. Lastly, the potential clinical applications of this technique are reviewed.' localization of an embolic source, risk of recurrent ischemia in patients with unstable atherosclerotic plaques, intraoperative monitoring and potential surgical technique modifications based on this information, contributions to the understanding of the pathophysiology of the fat embolism syndrome, and monitoring therapeutic efficacy of antithrombotics and thrombolytics. Conclusions. The ability to detect cerebral emboli with transcranial ultrasound has increased significantly our understanding about the pathogenesis of cerebral ischemia. Microembolus detection with transcranial Doppler is a poweful and novel diagnostic technique that allows to study the embolic process in vivo and in real time, instead of using indirect indicators of embolism (clinical and radiological features, possible embolic sources, etc.).
KW - Carotid endarterectomy
KW - Cerebral embolism
KW - Embolus detection
KW - Surgical monitoring
KW - Transcranial Doppler
KW - Ultrasonography
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UR - http://www.scopus.com/inward/citedby.url?scp=0034480684&partnerID=8YFLogxK
M3 - Article
C2 - 11190873
AN - SCOPUS:0034480684
VL - 31
SP - 1046
EP - 1053
JO - Revista de Neurologia
JF - Revista de Neurologia
SN - 0210-0010
IS - 11
ER -