Neurovascular Sonography

ISBN-13: 9783030968922 / Angielski / Miękka / 2022

Ziai, Wendy C.

Opis

This book provides a comprehensive and concise, review of the fundamental concepts and clinical indications for Transcranial Doppler (TCD) imaging.  An overview of the physics of ultrasonography as it pertains to TCD is presented, as well as neuroanatomy and cerebrovascular physiology in healthy and diseased states.  Recommended protocols for neuroimaging are reviewed and serves as a guide for existing neurovascular laboratories and medical systems seeking to develop laboratories that are in need of a guide to establish their own protocols. The most common, relevant and challenging clinical conditions where TCD is incorporated to assist with patient management are discussed.  In addition, chapters provide a framework for building a neurovascular laboratory, including necessary equipment, steps to obtain national accreditation by accrediting bodies, and reimbursement procedures for tests performed.  The book concludes with “clinical pearls” and “tricks of the trade”, which serve as a commentary to guide physicians and neurosonologists on best-practices for TCD acquisition and interpretation.

Spis treści

Principles of TCD Sonography

Overview of Pertinent Cerebral Vascular Anatomy

Cerebral Blood Flow and Cerebrovascular Physiology

TCD Procedures and Protocols:

                                Complete TCD Exam

                                Monitoring in the Neuro-intensive care setting

                                Monitoring for Emboli Detection

                                Monitoring for Emboli Detection with Microbubbles

                                Vasomotor Reactivity (VMR)

                                Assessment of Cerebral Circulatory Arrest

                                Optic Nerve Sheath Diameter

                                Monitoring of reperfusion therapies in acute stroke

 

Diseases:

                                Subarachnoid Hemorrhage and Vasospasm

                                Intracranial Stenosis

                                Brain Death

                                Traumatic Brain Injury

                                Emboli Detection and Intracardiac shunts (Patent Foramen Ovale)

                                Sickle Cell Disease           

                                Moyamoya Disease

                                Pediatric Diseases           

                                Vertebral Steal

                                Meningitis

TCD Criteria, Formulae and Calculations: How to manually calculate

Autoregulation and Vasomotor Reactivity

Therapeutic TCD for patients with acute cerebral ischemia

Optic Nerve Sheath Diameter measurement for increased ICP

TCD and cerebrovascular physiology in the setting of mechanical circulatory support

Pearls and Case Studies

TCD equipment, lab accreditation, reimbursement and practice issues  

Tricks of the Trade

O autorze

Wendy C. Ziai, MD, MPH

Departments of Neurology, Neurosurgery, Anesthesiology, and Critical Care Medicine

The Johns Hopkins University School of Medicine

Baltimore, MD, USA

Christy L. Cornwell, BS, RVT, NVS

Neurosonology Consultant

Cardiovascular Ultrasound Services, Inc.

Columbus, OH, USA