0000000000042898

AUTHOR

Maximilian Stein

showing 2 related works from this author

Image-guided transcranial Doppler sonography for monitoring of vasospasm after subarachnoid hemorrhage.

2016

Transcranial Doppler ultrasound (TCD) is a standard method for bedside vasospasm monitoring after subarachnoid hemorrhage (SAH). Image guidance has previously been shown to reduce intra- and interobserver variability of this method. The aim of the present study was to compare image-guided and conventional TCD in vasospasm monitoring after SAH.418 TCD exams of 24 consecutive SAH patients registered in a database were evaluated. Of these, 130 image-guided exams were identified which had been performed on the same day as conventional Doppler exams. These matched pairs were taken for statistical analysis. Data were tested statistically using the sign test applied at patient level to aggregated …

AdultMalemedicine.medical_specialtyNeuronavigationSubarachnoid hemorrhageUltrasonography Doppler Transcranialeducation030218 nuclear medicine & medical imaging03 medical and health sciencesYoung Adult0302 clinical medicineStatistical significanceTemporal bonemedicineHumansVasospasm Intracranialcardiovascular diseasesNeuronavigationAgedbusiness.industryUltrasoundNeurointensive careVasospasmGeneral MedicineMiddle AgedSubarachnoid Hemorrhagemedicine.diseasenervous system diseasesTranscranial Dopplercardiovascular systemSurgeryFemaleNeurology (clinical)Radiologybusiness030217 neurology & neurosurgeryClinical neurology and neurosurgery
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Image-Guided Transcranial Doppler Ultrasound for Monitoring Posthemorrhagic Vasospasms of Infratentorial Arteries: A Feasibility Study

2019

Background A considerable number of patients with subarachnoid hemorrhage (SAH) develop vasospasms of the infratentorial arteries. Transcranial Doppler sonography (TCD) is used to screen for vasospasm. In this study, we used a technical modification that combines TCD with an image guidance device that the operator can use to navigate to the ultrasonic window and to predefined intracranial vascular targets. Our aim was to analyze the feasibility, spatial precision, and spatial reproducibility of serial image-guided TCD of infratentorial and—for comparison—supratentorial arteries in the clinical setting of monitoring for vasospasm after SAH. Methods The study included 10 SAH patients, who eac…

AdultMaleSubarachnoid hemorrhageComputed Tomography AngiographyUltrasonography Doppler TranscranialCerebral arteriesBrain Ischemia03 medical and health sciencessymbols.namesake0302 clinical medicinemedicineHumansVasospasm Intracranialcardiovascular diseasesImage guidanceVertebral ArteryAgedComputed tomography angiographyReproducibilitymedicine.diagnostic_testbusiness.industryReproducibility of ResultsVasospasmCerebral ArteriesMiddle AgedSubarachnoid Hemorrhagemedicine.diseaseCerebral AngiographyTranscranial DopplerBasilar Artery030220 oncology & carcinogenesiscardiovascular systemsymbolsFeasibility StudiesFemaleSurgeryNeurology (clinical)businessNuclear medicineDoppler effectBlood Flow Velocity030217 neurology & neurosurgeryWorld Neurosurgery
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