The Monitoring and Application of Transcranial Doppler Ultrasound in Patients with Severe Neurovascular Diseases

WANG Qiong; WANG Tao; LIU Yi-wen; SONG Ma-li; TAO Wen-dan; ZHANG Ming

doi:10.12182/20200760606

Volume 51 Issue 4

Jul. 2020

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JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCES) > 2020 > 51(4): 578-581. > DOI: 10.12182/20200760606

WANG Qiong, WANG Tao, LIU Yi-wen, et al. The Monitoring and Application of Transcranial Doppler Ultrasound in Patients with Severe Neurovascular Diseases[J]. Journal of Sichuan University (Medical Sciences), 2020, 51(4): 578-581. DOI: 10.12182/20200760606

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The Monitoring and Application of Transcranial Doppler Ultrasound in Patients with Severe Neurovascular Diseases

1.
Department of Neurological Intensive Critical Care, West China Hospital, Sichuan University, Chengdu 610041, China
2.
Department of Pediatric Intensive Critical Care, Chengdu Women's and Children's Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu 610091, China
3.
Department of Neurology, West China Hospital, Sichuan University, Chengdu 610041, China

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Corresponding author:
LIU Yi-wen, E-mail: liuyiwen3@163.com
Received Date: October 08, 2019
Revised Date: January 15, 2020
Available Online: July 20, 2020
Published Date: July 19, 2020

Abstract

Abstract

Objective To investigate the monitoring effect and application of transcranial Doppler ultrasound (TCD) in patients with severe neurovascular cerebrovascular diseases.
Methods From December 2016 to October 2018, 96 patients with cerebrovascular disease in Department of Neurology and ICU, West China Hospital, Sichuan University were monitored by bedside TCD, including the detection of bilateral middle cerebral arteries (MCAs) through temporal window, and the detection of the basilar artery (BA) through occipital window, characterized by the peak systolic blood flow velocity, peak diastolic blood flow velocity, average peak blood flow velocity, vascular pulsatility index, vascular pulsatility index, vascular resistance index and blood flow spectrum morphology in local hemodynamic changes. According to the monitoring results, it was divided into vasospasm group, increased blood flow group and insufficient blood supply group. Relevant data of monitoring results were analysed.
Results Bedside TCD monitoring was successfully used to all cerebrovascular diseases patients. Among 96 patients, 37 patients (38.54%) had increased cerebral blood flow, 15 patients (15.62%) had cerebral vasospasm, and 93 patients had insufficient cerebral blood supply (90.62%, including insufficient blood supply to the MCA and BA). Patients mainly with cerebral aneurysm and hypertensive intracerebral hemorrhage types contributed the highest proportion of insufficient blood supply, followed by the increase of blood flow, and the incidence of vasospasm was relatively low. In cerebral aneurysm group and hypertensive intracerebral hemorrhage group, and differences in the incidence of insufficient blood supply, increased blood flow, and vasospasm were statistically significant (P<0.05).
Conclusion The bedside TCD monitoring can assess the patient's craniocerebral hemodynamic information and provide a clinical guidance.
- Transcranial Doppler ultrasound,
- Severe neurological disease,
- Cerebrovascular disease,
- Monitoring and application

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The Monitoring and Application of Transcranial Doppler Ultrasound in Patients with Severe Neurovascular Diseases

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