Application of TC-2D-CDUS before and after surgical treatment of carotid artery stenosis
- VernacularTitle:经颅二维彩色多普勒超声在颅外段颈动脉内膜剥除术和支架成形术前后的应用价值
- Author:
Bo ZHANG
;
Baozhen ZHAO
- Publication Type:Journal Article
- Keywords:
carotid stenosis;
carotid endarterectomy;
percutaneous transluminal angioplasty and stent;
transcranial two dimensional color Doppler ultrasound
- From:
Academic Journal of Second Military Medical University
1981;0(04):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To assess the value of Transcranial Two Dimensional Color Doppler Ultrasound(TC-2D-CDUS) in diagnosis of carotid artery stenosis and in follow-up study after surgical treatment.Methods: Thirteen patients with carotid artery stenosis, who were excluded from vertebral or intracranial diseases, were detected before and after operation with TC-2D-CDUS. Results: TC-2D-CDUS indicated that 2 patients' image were not satisfactory, and the blood velocity of middle cerebral artery (MCA) in the same side of lesion was lowered to different extents in the other 11 patients. The waveform was blunted in 3 patients with their systolic peak disappeared, acceleration time prolonged, and the direction of the anterior cerebral artery(ACA) in the same side inverted.After operation,TC-2D-CDUS indicated that MCA blood velocity and the direction of ACA were normal. The blood distribution was symmetric in bilateral brains. Conclusion: TC-2D-CDUS can provide intracranial hemodynamic information. It can be used in the follow-up study after operation,helping to make accurate judgement and discover complications.
