Comparison of Vertebral Artery and Middle Cerebral Artery Monitoring for Right-to-left Shunt Detection by Contrast-enhanced Transcranial Doppler
Contrast-enhanced transcranial Doppler (c-TCD) is a reliable and reproducible method for right-to-left shunt (RLS) detection, with high sensitivity. Monitoring the middle cerebral artery (MCA) is an optimal choice, yet for patients with insufficient temporal bone windows or severe stenosis of caroti...
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| Published in | Scientific reports Vol. 6; no. 1; p. 24932 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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London
Nature Publishing Group UK
21.04.2016
Nature Publishing Group |
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| Online Access | Get full text |
| ISSN | 2045-2322 2045-2322 |
| DOI | 10.1038/srep24932 |
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| Abstract | Contrast-enhanced transcranial Doppler (c-TCD) is a reliable and reproducible method for right-to-left shunt (RLS) detection, with high sensitivity. Monitoring the middle cerebral artery (MCA) is an optimal choice, yet for patients with insufficient temporal bone windows or severe stenosis of carotid arteries, an alternative should be established. The aim of the present study was to further establish whether c-TCD with vertebral artery (VA) monitoring is as effective as MCA monitoring for RLS detection. We evaluated 194 subjects for RLS detection with VA and MCA monitoring simultaneously. There was no significant difference between the positive rates of VA and MCA monitoring for RLS detection. c-TCD with VA monitoring could be an alternative for RLS detection, with high sensitivity and specificity both at rest and during the Valsalva manoeuvre. |
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| AbstractList | Contrast-enhanced transcranial Doppler (c-TCD) is a reliable and reproducible method for right-to-left shunt (RLS) detection, with high sensitivity. Monitoring the middle cerebral artery (MCA) is an optimal choice, yet for patients with insufficient temporal bone windows or severe stenosis of carotid arteries, an alternative should be established. The aim of the present study was to further establish whether c-TCD with vertebral artery (VA) monitoring is as effective as MCA monitoring for RLS detection. We evaluated 194 subjects for RLS detection with VA and MCA monitoring simultaneously. There was no significant difference between the positive rates of VA and MCA monitoring for RLS detection. c-TCD with VA monitoring could be an alternative for RLS detection, with high sensitivity and specificity both at rest and during the Valsalva manoeuvre. Contrast-enhanced transcranial Doppler (c-TCD) is a reliable and reproducible method for right-to-left shunt (RLS) detection, with high sensitivity. Monitoring the middle cerebral artery (MCA) is an optimal choice, yet for patients with insufficient temporal bone windows or severe stenosis of carotid arteries, an alternative should be established. The aim of the present study was to further establish whether c-TCD with vertebral artery (VA) monitoring is as effective as MCA monitoring for RLS detection. We evaluated 194 subjects for RLS detection with VA and MCA monitoring simultaneously. There was no significant difference between the positive rates of VA and MCA monitoring for RLS detection. c-TCD with VA monitoring could be an alternative for RLS detection, with high sensitivity and specificity both at rest and during the Valsalva manoeuvre.Contrast-enhanced transcranial Doppler (c-TCD) is a reliable and reproducible method for right-to-left shunt (RLS) detection, with high sensitivity. Monitoring the middle cerebral artery (MCA) is an optimal choice, yet for patients with insufficient temporal bone windows or severe stenosis of carotid arteries, an alternative should be established. The aim of the present study was to further establish whether c-TCD with vertebral artery (VA) monitoring is as effective as MCA monitoring for RLS detection. We evaluated 194 subjects for RLS detection with VA and MCA monitoring simultaneously. There was no significant difference between the positive rates of VA and MCA monitoring for RLS detection. c-TCD with VA monitoring could be an alternative for RLS detection, with high sensitivity and specificity both at rest and during the Valsalva manoeuvre. |
| ArticleNumber | 24932 |
| Author | Guo, Yu-Zhu Xing, Ying-qi Gao, Yong-Sheng Guo, Zhen-Ni Niu, Peng-Peng Yang, Yi |
| Author_xml | – sequence: 1 givenname: Yu-Zhu surname: Guo fullname: Guo, Yu-Zhu organization: Department of Neurology, Neuroscience Center, The First Hospital of Jilin University – sequence: 2 givenname: Yong-Sheng surname: Gao fullname: Gao, Yong-Sheng organization: Department of Cardiac Surgery, The First Hospital of Jilin University – sequence: 3 givenname: Zhen-Ni surname: Guo fullname: Guo, Zhen-Ni organization: Department of Neurology, Neuroscience Center, The First Hospital of Jilin University – sequence: 4 givenname: Peng-Peng surname: Niu fullname: Niu, Peng-Peng organization: Department of Neurology, Neuroscience Center, The First Hospital of Jilin University – sequence: 5 givenname: Yi surname: Yang fullname: Yang, Yi organization: Department of Neurology, Neuroscience Center, The First Hospital of Jilin University – sequence: 6 givenname: Ying-qi surname: Xing fullname: Xing, Ying-qi organization: Department of Neurology, Neuroscience Center, The First Hospital of Jilin University |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27098054$$D View this record in MEDLINE/PubMed |
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| Snippet | Contrast-enhanced transcranial Doppler (c-TCD) is a reliable and reproducible method for right-to-left shunt (RLS) detection, with high sensitivity. Monitoring... |
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| SubjectTerms | 631/378 692/617 Adult Carotid arteries Carotid artery Contrast Media Female Humanities and Social Sciences Humans Image Enhancement Male Middle Aged Middle Cerebral Artery - physiology Monitoring multidisciplinary Patients Regional Blood Flow Science Stenosis Stroke Temporal bone Ultrasonography, Doppler, Transcranial - methods Ultrasound Veins & arteries Vertebrae Vertebral Artery - physiology |
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| Title | Comparison of Vertebral Artery and Middle Cerebral Artery Monitoring for Right-to-left Shunt Detection by Contrast-enhanced Transcranial Doppler |
| URI | https://link.springer.com/article/10.1038/srep24932 https://www.ncbi.nlm.nih.gov/pubmed/27098054 https://www.proquest.com/docview/1901720477 https://www.proquest.com/docview/1783922689 https://pubmed.ncbi.nlm.nih.gov/PMC4838934 |
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