Visualisation of intracranial aneurism by transcranial duplex sonography
https://doi.org/10.24835/1607-0763-2020-1-85-95
Abstract
Cerebral aneurysms are the cause of hemorrhage in the subarachnoid space of the brain and are associated with high early mortality and risk of complications. Timely diagnosis and successful treatment of arterial aneurysms (AA) of the brain before rupture will help to avoid the consequences of subarachnoid hemorrhage (SAC).
The purpose of the study was the estimation of transcranial duplex sonography (TDS) sensitivity in AA visualization and determination of AA ultrasound criteria.
Materials and methods. 41 patient with cerebral aneurism rupture were participated in the research. All patients were examined by TDS on a device on the Aplio ™ 500 device (Toshiba) using a 2.5 MHz sensor and by selective cerebral angiography (CAG) on the Siemens diagnostic unit (Axion Artis DBS). Non-ionic contrast agents omnipak 300 and Ultravist 320 were used for CAG.
Results. TDS application it allowed to visualize 60.4% of aneurysms, as well as determine the diameter of the aneurysm and the nature of blood flow in it. According to our data, when using color or energy Doppler mapping modes of the vehicle, the frequency of visualization of the M1 SMA segment was 100%, the M2 segment -40.5%, the PMA – 100%, and the P1 and P2 segments of the ZMA – 90%. A strong correlation was found between angiographic and ultrasound (TDS) dimensions of AA (r= + 0.89; p < 0.0001).
Conclusions. TDS is not the gold standard in the diagnosis of AA, but can be used for routine examination of patients with cerebral aneurysms. Main ultrasound criteria for imaging AA: education is rounded or oval in shape, associated with the vessel; a color area division between vessel and education; the presence of revealed the formation of turbulent blood flow and unidirectional blood flow through the peripheral vessels related to education.
About the Authors
L. T. Khamidova
N.V. Sklifosovsky Research Institute for Emergency Medicine of Health Department
Russian Federation
Russian Federation
Сand. of Sci. (Med.), Head of the Department of Ultrasound and Functional Diagnostics
129090 Moscow, Bolshaya Sukharevskaya Square, 3
Phone: +7-926-019-00-95
N. V. Rybalko
N.V. Sklifosovsky Research Institute for Emergency Medicine of Health Department
Russian Federation
Doct. of Sci. (Med.), leading researcher of the Department of Ultrasound and Functional Diagnostics
129090, Moscow, 3, Bolshaya Suharevskaya, Russian Federation
Russian Federation
Doct. of Sci. (Med.), leading researcher of the Department of Ultrasound and Functional Diagnostics
129090, Moscow, 3, Bolshaya Suharevskaya, Russian Federation
V. V. Krylov
N.V. Sklifosovsky Research Institute for Emergency Medicine of Health Department;
A.I. Evdokimov Moscow State University of Medicine and Dentistry;
Clinical medical center of A.I. Evdokimov Moscow State University of Medicine and Dentistry Moscow
Russian Federation
Russian Federation
Academician of the Russian Academy of Sciences, Doct. of Sci. (Med.), Director the Clinical medical center; Неad of the Department of Neurosurgery and Neuroreanimation
129090, Moscow, 3, Bolshaya Suharevskaya, Russian Federation
20/1, Delegatskaya str., Moscow, 127473, Russian Federation
S. S. Petrikov
N.V. Sklifosovsky Research Institute for Emergency Medicine of Health Department;
A.I. Evdokimov Moscow State University of Medicine and Dentistry
Russian Federation
Russian Federation
Сorresponding member of the Russian Academy of Sciences, Doct. of Sci. (Med.), Director
129090, Moscow, 3, Bolshaya Suharevskaya, Russian Federation
20/1, Delegatskaya str., Moscow, 127473, Russian Federation
A. V. Klimov
N.V. Sklifosovsky Research Institute for Emergency Medicine of Health Department
Russian Federation
Сand. of Sci. (Med.), sceintific consultant Department of Endovascular treatment
129090, Moscow, 3, Bolshaya Suharevskaya, Russian Federation
Russian Federation
Сand. of Sci. (Med.), sceintific consultant Department of Endovascular treatment
129090, Moscow, 3, Bolshaya Suharevskaya, Russian Federation
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Review
For citations:
Khamidova L.T., Rybalko N.V., Krylov V.V., Petrikov S.S., Klimov A.V. Visualisation of intracranial aneurism by transcranial duplex sonography. Medical Visualization. 2020;24(1):85-95. (In Russ.) https://doi.org/10.24835/1607-0763-2020-1-85-95
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