经颅多普勒检查发现与肺动静脉瘘相关的反常脑栓塞
Transcranial Doppler of a paradoxical brain embolism associated with a pulmonary arteriovenous fistula.
作者信息
Kimura K, Minematsu K, Wada K, Yasaka M, Tagaya M, Kuribayashi S, Yamaguchi T
机构信息
Department of Medicine, National Cardiovascular Center, Suita, Osaka, Japan.
出版信息
AJNR Am J Neuroradiol. 1999 Nov-Dec;20(10):1881-4.
Abstract
We herein report the case of a patient who had paradoxical brain embolism owing to a pulmonary arteriovenous fistula (PAVF) who was diagnosed as having a right-to-left shunt by transcranial Doppler (TCD) with saline contrast medium. TCD with saline contrast medium failed to detect any high-intensity transient signals immediately after catheter embolization of the PAVF. Thus, TCD with saline contrast medium was useful for identifying the presence of a right-to-left shunt and for confirming that the shunt had been obliterated after endovascular treatment.
摘要
我们在此报告一例因肺动静脉瘘（PAVF）发生矛盾性脑栓塞的患者，该患者通过经颅多普勒（TCD）使用生理盐水造影剂被诊断为存在右向左分流。在对PAVF进行导管栓塞后，使用生理盐水造影剂的TCD未能立即检测到任何高强度瞬态信号。因此，使用生理盐水造影剂的TCD有助于识别右向左分流的存在，并确认血管内治疗后分流已被消除。
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本文引用的文献
1
2
Transcranial Doppler sonographic monitoring during cerebral aneurysm embolization: a preliminary report.脑动脉瘤栓塞术中经颅多普勒超声监测：初步报告。
AJNR Am J Neuroradiol. 1998 Sep;19(8):1549-53.
3
Randomized study of carotid angioplasty and stenting versus carotid endarterectomy: a stopped trial.
J Vasc Surg. 1998 Aug;28(2):326-34. doi: 10.1016/s0741-5214(98)70182-x.
4
Microembolic signals and intraoperative stroke in carotid endarterectomy.
Acta Neurol Scand. 1998 Feb;97(2):110-7. doi: 10.1111/j.1600-0404.1998.tb00619.x.
5
Transcranial Doppler monitoring and causes of stroke from carotid endarterectomy.
Stroke. 1997 Apr;28(4):685-91. doi: 10.1161/01.str.28.4.685.
6
Transcranial Doppler ultrasonography and transesophageal echocardiography in the investigation of pulmonary arteriovenous malformation in a patient with hereditary hemorrhagic telangiectasia presenting with stroke.经颅多普勒超声检查和经食管超声心动图在一名患有遗传性出血性毛细血管扩张症并伴有中风的患者的肺动静脉畸形检查中的应用
Stroke. 1995 Oct;26(10):1941-4. doi: 10.1161/01.str.26.10.1941.
7
Concomitant pulmonary and cerebral arteriovenous fistulae.
Chest. 1985 Nov;88(5):782-4. doi: 10.1378/chest.88.5.782.
8
Paradoxical embolism: clinical presentation, diagnostic strategies, and therapeutic options.反常栓塞：临床表现、诊断策略及治疗选择
Am Heart J. 1986 Jul;112(1):141-5. doi: 10.1016/0002-8703(86)90692-7.
9
Pulmonary arteriovenous malformations: techniques and long-term outcome of embolotherapy.肺动静脉畸形：栓塞治疗技术及长期疗效
Radiology. 1988 Dec;169(3):663-9. doi: 10.1148/radiology.169.3.3186989.
10
Paradoxical cerebral embolism secondary to pulmonary arteriovenous fistula.
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