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Titolo:
GRADING AND HEMODYNAMIC FOLLOW-UP-STUDY OF ARTERIOVENOUS-MALFORMATIONS WITH TRANSCRANIAL DOPPLER ULTRASONOGRAPHY
Autore:
KILIC T; PAMIR MN; BUDD S; OZEK MM; ERZEN C;
Indirizzi:
DANA FARBER CANC INST,44 BINNEY ST,SMITH BLDG 1010 BOSTON MA 02115 BRIGHAM & WOMENS HOSP,DANA FARBER CANC INST,BLACKS RES LAB BOSTON MA 02115 BRIGHAM & WOMENS HOSP,CNS RES INST BOSTON MA 02115 MARMARA UNIV,INST NEUROL SCI ISTANBUL TURKEY
Titolo Testata:
Journal of ultrasound in medicine
fascicolo: 12, volume: 17, anno: 1998,
pagine: 729 - 738
SICI:
0278-4297(1998)17:12<729:GAHFOA>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
SONOGRAPHY; HEMORRHAGE; STEAL; EMBOLIZATION; ULTRASOUND; BRAIN; AVMS;
Keywords:
ARTERIOVENOUS MALFORMATIONS; GRADING; HEMODYNAMICS; TRANSCRANIAL DOPPLER ULTRASONOGRAPHY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
32
Recensione:
Indirizzi per estratti:
Citazione:
T. Kilic et al., "GRADING AND HEMODYNAMIC FOLLOW-UP-STUDY OF ARTERIOVENOUS-MALFORMATIONS WITH TRANSCRANIAL DOPPLER ULTRASONOGRAPHY", Journal of ultrasound in medicine, 17(12), 1998, pp. 729-738

Abstract

This study presents and tests the clinical validity of a hemodynamic grading system that depends on noninvasive transcranial Doppler ultrasonographic parameters. The suggested transcranial Doppler-based grading system was compared with the Spetzler-Martin anatomic grading for prognosticative validity and clinical dependability. We concluded the following: (1) The pulsatility index was shown to be a more dependable transcranial Doppler parameter in the clinical evaluation of an arteriovenous malformation because of two reasons: preoperative pulsatility index findings inversely correlated with arteriovenous malformation volume, and the pulsatility index returned to normal values before the mean blood flow velocity did. Therefore, hemodynamic arteriovenous malformation grading can be based on the pulsatility index. (2) A transcranial Doppler-based hemodynamic arteriovenous malformation grading system correlated highly with the Spetzler-Martin grading in predicting postoperative neurologic deficits and adverse radiologic findings. (3) The presented grading system may contribute to the standardization and quantification of the hemodynamic changes during multidisciplinary management of arteriovenous malformations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 06:26:07