Practicability of intraoperative microvascular Doppler sonography in aneurysm surgery

被引:39
作者
Firsching, R [1 ]
Synowitz, HJ [1 ]
Hanebeck, J [1 ]
机构
[1] Otto Von Guericke Univ, Neurochirurg Klin, D-39120 Magdeburg, Germany
关键词
aneurysm; intraoperative monitoring; micro-Doppler sonography;
D O I
10.1055/s-2000-12261
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Inadvertent narrowing of parent or branching vessels is one major cause of unfavorable outcome from aneurysm surgery. Intraoperative micro-Doppler sonography of arterial brain vessels during surgery for cerebral aneurysms of the anterior circulation was performed in 50 patients and compared retrospectively with 50 patients, who were operated upon without micro-Doppler sonography. Intraoperative micro-Doppler sonography demonstrated the need for repositioning of the clip in 12 instances. Outcome after surgery with micro-Doppler sonography appeared slightly better than without. Micro-Doppler sonography is concluded to be a practicable adjunct to routine aneurysm surgery.
引用
收藏
页码:144 / 148
页数:5
相关论文
共 18 条
[1]   NON-INVASIVE TRANSCRANIAL DOPPLER ULTRASOUND RECORDING OF FLOW VELOCITY IN BASAL CEREBRAL-ARTERIES [J].
AASLID, R ;
MARKWALDER, TM ;
NORNES, H .
JOURNAL OF NEUROSURGERY, 1982, 57 (06) :769-774
[2]   INTRAOPERATIVE ANGIOGRAPHY AND TEMPORARY BALLOON OCCLUSION OF THE BASILAR ARTERY AS AN ADJUNCT TO SURGICAL CLIPPING - TECHNICAL NOTE [J].
BAILES, JE ;
DEEB, ZL ;
WILSON, JA ;
JUNGREIS, CA ;
HORTON, JA .
NEUROSURGERY, 1992, 30 (06) :949-953
[3]   Intraoperative microvascular Doppler sonography in aneurysm surgery [J].
Bailes, JE ;
Tantuwaya, LS ;
Fukushima, T ;
Schurman, GW ;
Davis, D .
NEUROSURGERY, 1997, 40 (05) :965-970
[4]  
BARROW DL, 1991, NEUROSURGERY, V29, P83
[5]   MONITORING OF SOMATOSENSORY EVOKED-POTENTIALS DURING SURGERY FOR MIDDLE CEREBRAL-ARTERY ANEURYSMS [J].
FRIEDMAN, WA ;
CHADWICK, GM ;
VERHOEVEN, FJS ;
MAHLA, M ;
DAY, AL .
NEUROSURGERY, 1991, 29 (01) :83-88
[6]   HEMODYNAMIC ASSESSMENT OF THE SPINAL-CORD ARTERIOVENOUS MALFORMATION WITH INTRAOPERATIVE MICROVASCULAR DOPPLER ULTRASOUND - CASE-REPORT [J].
GILLER, CA ;
MEYER, YJ ;
BATJER, HH .
NEUROSURGERY, 1989, 25 (02) :270-275
[7]  
GILSBACH JM, 1983, INTRAOPERATIVE DOPPL
[8]   SURGICAL RISK AS RELATED TO TIME OF INTERVENTION IN REPAIR OF INTRACRANIAL ANEURYSMS [J].
HUNT, WE ;
HESS, RM .
JOURNAL OF NEUROSURGERY, 1968, 28 (01) :14-&
[9]  
JENNETT B, 1975, LANCET, V1, P480
[10]   NEUROSURGICAL VASCULAR COMPLICATIONS ASSOCIATED WITH ANEURYSM CLIPS EVALUATED BY POSTMORTEM ANGIOGRAPHY [J].
KARHUNEN, PJ .
FORENSIC SCIENCE INTERNATIONAL, 1991, 51 (01) :13-22