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Value of external carotid artery resistive index for diagnosis of cavernous sinus dural arteriovenous fistula and determination of malignant type.

作者信息

Kobkitsuksakul Chai, Soratcha Wasawat, Chanthanaphak Ekachat

机构信息

Division of Interventional Neuroradiology, Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Clin Imaging. 2018 May-Jun;49:117-120. doi: 10.1016/j.clinimag.2017.11.006. Epub 2017 Nov 16.

DOI:10.1016/j.clinimag.2017.11.006
PMID:29288968
Abstract

PURPOSE

Cavernous sinus dural arteriovenous fistula (CSDAVF) causes hemodynamic disturbance in the arteries, which is detected by carotid Doppler sonography (CDS). The objective of the study was designed for validation of CDS in the diagnosis of CSDAVF.

MATERIAL AND METHODS

42 CSDAVF patients confirmed by angiography were enrolled. All patients were performed CDS before angiography. Evaluations of CDS parameters were compared with control subjects.

RESULTS

The ECA resistive index (RI) shows the best performance. The highest yield shown on left ECA RI and increased from 78.6% to 91.7% on malignant-typed.

CONCLUSION

CDS may be beneficial as the screening tool for CSDAVF.

摘要

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