Tranacranial color-coded and pulsed-Doppler sonographic evaluation of hemodynamics of the middle cerebral artery stenting
10.3760/cma.j.issn.1004-4477.2011.03.013
- VernacularTitle:经颅彩色及频谱多普勒超声评价大脑中动脉狭窄支架术血流动力学变化
- Author:
Jianmei CHEN
;
Yunyou DUAN
;
Xi LIU
;
Jia WANG
;
Zhenwei ZHAO
;
Lijun YUAN
;
Jian LI
;
Tiesheng CAO
- Publication Type:Journal Article
- Keywords:
Ultrasonography,Doppler,transcranial;
Middle cerebral artery;
Stents;
Hemodynamic phenomena
- From:
Chinese Journal of Ultrasonography
2011;20(3):219-221
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the hemodynamic changes in patients with middle cerebral artery (MCA) stenosis pre- and post-stenting by transcranial color-coded and pulsed-Doppler sonography.Methods Thirty patients with middle cerebral artery stenosis were included.Two-dimensional,color-coded and pulsed-Doppler sonography were used to monitor the morphologic and hemodynamic changes of the MCA before,in the middle of,and after the endovascular stenting operation.All patients were verified by digital substract angiography.Results The hyper-echoic stent grafts and also the size and location of the stent were clearly shown by two-dimensional ultrasonography in 28 patients.The systolic,diastolic and the timeaveraged maximal flow velocities significantly decreased both instantly and 3 - 7 d after the stenting.Specifically,the systolic peak flow velocity of the MCA dramatically decreased immediately after the stenting [(151.43 ± 25.14) cm/s vs (286.13 ± 57.38)cm/s,P ＜0.05],and showed a further decrease after 3 - 7 d [(108.80 ± 9.95) cm/s vs (151.43 ± 25.14) cm/s,P ＜0.05].Conclusions Transcranial color-coded and pulsed-Doppler sonography could be used to evaluate the hemodynamic changes after MCA stenting,and could be considered as the first choice of method for evaluating the therapeutic outcome of stenting.
