CEREBRAL VASOREACTIVITY IN UNILATERAL CAROTID-ARTERY DISEASE - A COMPARISON OF BLOOD-FLOW VELOCITY AND REGIONAL CEREBRAL BLOOD-FLOW MEASUREMENTS

CEREBRAL VASOREACTIVITY IN UNILATERAL CAROTID-ARTERY DISEASE - A COMPARISON OF BLOOD-FLOW VELOCITY AND REGIONAL CEREBRAL BLOOD-FLOW MEASUREMENTS
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DOI:
10.1161/01.str.25.3.621
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发表时间:
1994-03-01
期刊:
影响因子:
8.3
通讯作者:
BAKKE, SJ
BAKKE, SJ
中科院分区:
医学1区
文献类型:
--
作者:
DAHL, A;RUSSELL, D;BAKKE, SJ

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Background and Purpose Hemodynamic information obtained by assessing cerebral vasoreactivity is of clinical interest and may have prognostic significance in patients with occlusive carotid disease. The aim of this study was to compare the results of transcranial Doppler and regional cerebral blood flow studies when used to assess cerebral vasoreactivity.Methods Blood flow velocities in both middle cerebral arteries and regional cerebral blood flow in their respective perfusion territories were compared in 52 patients with severe unilateral carotid stenosis or occlusion. The studies were first performed under basal conditions and repeated after the intravenous administration of Ig acetazolamide.Results Asymmetry (normal compared with pathological side) in middle cerebral artery blood velocity increase was significantly greater than the asymmetry in cerebral blood flow increase in the perfusion territories of the arteries. A significant correlation (r=.63, P