Conference paper

Ultrasound in Selection of Patients with Ischemic Stroke for Thrombolysis

Andrei V. Alexandrov

Abstract

Transcranial Doppler (TCD) in acute ischemic stroke can be used as a convenient screening test to identify the level of arterial occlusion and presence of residual flow, and to monitor recanalization. It can help to minimize the number of invasive angiograms and facilitate fast diagnostic work-up of stroke patients. Clinical recovery in tissue plasminogen activator (TPA) treated patients is associated with early complete recanalization. Dramatic clinical recovery during TPA infusion was seen in 20% of patients when TPA was combined with continuous TCD monitoring of the occlusion site. Ultrasonic energy transmission by TCD monitoring may expose more clot surface to residual blood flow and thus facilitate thrombolysis.

Keywords

Brain ischemia, ultrasonography; Brain ischemia, therapy; Thrombolytic therapy; Ultrasonography, Doppler, transcranial

Hrčak ID:

14983

URI

https://hrcak.srce.hr/14983

Publication date:

1.12.2000.

Article data in other languages: croatian

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