Detecting traumatic internal carotid artery dissection using transcranial Doppler in head-injured patients
| العنوان: | Detecting traumatic internal carotid artery dissection using transcranial Doppler in head-injured patients |
|---|---|
| المؤلفون: | Gilles Francony, P. Declety, Jean François Payen, Pierre Albaladejo, Julien Brun, C. Broux, Pierre Bouzat, Claude Jacquot, Pierre Lavagne, Julien Picard |
| المساهمون: | Neuro-imagerie fonctionnelle et métabolique (ANTE-INSERM U836, équipe 5), Grenoble Institut des Neurosciences (GIN), Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Joseph Fourier - Grenoble 1 (UJF)-Institut National de la Santé et de la Recherche Médicale (INSERM), Service d'anesthésie-réanimation, Université Joseph Fourier - Grenoble 1 (UJF)-CHU Grenoble-Hôpital Michallon, Dojat, Michel |
| المصدر: | Intensive Care Med Intensive Care Med, 2010, 36 (9), pp.1514-20. ⟨10.1007/s00134-010-1919-0⟩ |
| بيانات النشر: | HAL CCSD, 2010. |
| سنة النشر: | 2010 |
| مصطلحات موضوعية: | Carotid Artery Diseases, Male, Middle Cerebral Artery, MESH: Trauma Severity Indices, Ultrasonography, Doppler, Transcranial, MESH: Ultrasonography, Interventional, Carotid Artery, Internal, Dissection, Critical Care and Intensive Care Medicine, Cohort Studies, 0302 clinical medicine, Risk Factors, MESH: Risk Factors, Medicine, MESH: Cohort Studies, MESH: Aged, Trauma Severity Indices, MESH: Middle Aged, medicine.diagnostic_test, MESH: Ultrasonography, Doppler, Transcranial, Middle Aged, MESH: Case-Control Studies, 3. Good health, Internal carotid, MESH: Young Adult, Pulsatile Flow, MESH: Pulsatile Flow, Female, [SDV.IB]Life Sciences [q-bio]/Bioengineering, [SDV.NEU]Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Radiology, Adult, medicine.medical_specialty, Adolescent, Traumatic brain injury, Trauma, Central nervous system disease, MESH: Carotid Artery, Internal, Dissection, 03 medical and health sciences, Young Adult, Intensive care, Humans, [SDV.NEU] Life Sciences [q-bio]/Neurons and Cognition [q-bio.NC], Ultrasonography, Interventional, Aged, Retrospective Studies, [SDV.IB] Life Sciences [q-bio]/Bioengineering, MESH: Adolescent, Internal carotid artery dissection, Carotid dissection, MESH: Humans, business.industry, Vascular disease, MESH: Carotid Artery Diseases, Transcranial Doppler, 030208 emergency & critical care medicine, MESH: Adult, MESH: Retrospective Studies, MESH: Middle Cerebral Artery, medicine.disease, MESH: Male, Blood pressure, Brain Injuries, Case-Control Studies, Angiography, MESH: Brain Injuries, business, MESH: Female, 030217 neurology & neurosurgery |
| الوصف: | International audience; PURPOSE: The early diagnosis of traumatic internal carotid artery dissection (TICAD) is essential for initiating appropriate treatment and improving outcome. We searched for criteria from transcranial Doppler (TCD) measurements on admission that could be associated with subsequent TICAD diagnosis in patients with traumatic brain injury (TBI). METHODS: We conducted a retrospective 1:4 matched (age, mean arterial blood pressure) cohort study of 11 TBI patients with TICAD and absent or mild brain lesions on initial CT scan, 22 TBI controls with comparable brain CT scan lesions (controls 1), and 22 TBI controls with more severe brain CT scan lesions (controls 2) on admission. TCD measurements were obtained on admission from both middle cerebral arteries (MCA). All patients had subsequent CT angiography to diagnose TICAD. RESULTS: A >25% asymmetry in the systolic blood flow velocity between the two MCA was found in 9/11 patients with TICAD versus 0/22 in controls 1 and 5/22 in controls 2 (p < 0.01). The combination of this asymmetry with an ipsilateral pulsatility index < or =0.80 was found in 9/11 patients with TICAD versus none in the two groups of controls (p < 0.01). CONCLUSIONS: Our results suggest that significant asymmetry in the systolic blood flow velocity between the MCAs and a reduced ipsilateral pulsatility index could be criteria from TCD measurements associated with the occurrence of TICAD in head-injured patients. If prospectively validated, these findings could be incorporated in screening protocols for TICAD in patients with TBI. |
| وصف الملف: | application/pdf |
| اللغة: | English |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::fbec877e784f4c0bbec026be4c71c641 https://www.hal.inserm.fr/inserm-00498477/document |
| حقوق: | EMBARGO |
| رقم الأكسشن: | edsair.doi.dedup.....fbec877e784f4c0bbec026be4c71c641 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |