Author/Editor		Tetičkovič, Erih; Menih, Marija; Magdič, Jožef
Title		Spremljanje pretoka v možganskih arterijah s TCD
Translated title		TCD monitoring of cerebral blood flow
Type		članek
Source		Acta medico-biotechnica : AMB
Vol. and No.		Letnik 2, št. 1
Publication year		2009
Volume		str. 11-8
Language		eng
Abstract		Transcranial Doppler monitoring of intracranial blood flow during carotid endarterectomy, carotid angioplasty with stenting, surgical management of intracranial aneurysms, coronary artery bypass grafting, and thrombolysis of middle cerebral artery (MCA) occlusions is important because it enables recording of the flow in the MCA in real time. An adequate blood flow through the MCA during carotid endarterectomy allows for selective use of an intraluminal shunt (or the decision to operate without it) and timely identification of cerebral hyperperfusion, vasospasm, hypoperfusion, and cerebral microembolism as well as recanalization of the cerebral artery, thus minimizing postoperative neurologic complications such as stroke or cognitive dysfunction.
Summary		Spremljanje pretoka po možganskih arterijah s transkranialno Dopplerjevo sonografijo omogoča zaznavanje sprememb v pretoku po srednji možganski arteriji v dejanskem času. Pomembno je pri trombendarterektomiji karotidnih arterij, karotidni angioplastiki z znotrajžilno opornico, kirurškem zdravljenju anevrizem možganskih arterij, premostitvenih operacijah korornarnih arterij in trombolizi ob zapori srednje možganske arterije. Z ugotavljanjem zadostnega pretoka v srednji možganski arteriji pri karotidni trombendarterektomiji pomaga pri odločitvi o operaciji z znotrajžilnim obvodom ali brez tega. Hitro zaznavanje hipo- in hiperperfuzije, vazospazma, mikroembolusov ali rekanalizacije v možganskih arterijah lahko zmanjša tveganje za pooperativne nevrološke zaplete, kot sta možganska kap in kognitivna disfunkcija.
Descriptors		ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL ENDARTERECTOMY, CAROTID ANGIOPLASTY CORONARY ARTERY BYPASS ANEURYSM, RUPTURED SUBARACHNOID HEMORRHAGE THROMBOLYTIC THERAPY