Value of transcranial Doppler in the assessment of stroke in patients undergoing extracorporeal membrane oxygenation
10.19845/j.cnki.zfysjjbzz.2025.0146
- VernacularTitle:经颅多普勒超声在体外膜肺氧合患者脑卒中评估中的研究与价值
- Author:
Feiran Qi
1
;
Xinyu Zhao
1
;
Yingqi Xing
1
Author Information
1. Department of Vascular Ultrasonography， Xuanwu Hospital，Capital Medical University， Beijing 100053， China
- Publication Type:Journal Article
- Keywords:
Extracorporeal membrane oxygenation;
Transcranial Doppler;
Stroke;
Cerebral hemodynamics;
Brain death
- MeSH:
Stroke
- From:
Journal of Apoplexy and Nervous Diseases
2025;42(9):771-777
- CountryChina
- Language:Chinese
-
Abstract:
Stroke is one of the most common and serious neurological complications associated with extracorporeal membrane oxygenation （ECMO） therapy， and close monitoring， early recognition， and timely intervention can reduce the incidence rate of stroke and the mortality rate of patients. Transcranial Doppler （TCD） and transcranial color Doppler ultrasonography （TCCD） have emerged as the preferred modalities for monitoring cerebral blood flow in ECMO patients due to their bedside applicability， ability to provide real-time dynamic assessments， and noninvasive safety. This article summarizes the spectral characteristics of cerebral blood flow in patients undergoing various ECMO modalities and elaborates on the latest research advances and clinical significance of TCD/TCCD in predicting stroke events， monitoring cerebral microembolic signals， reflecting the change in intracranial pressure， confirming brain death， and providing prognostic evaluation.
