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Related Experiment Videos

Microembolism in Cerebral Angiography.

Hugh Markus1

  • 1Department of Neurology, Institute of Psychiatry, De Crespigny Park, Denmark Hill, London SE5 8AF, United Kingdom.

Echocardiography (Mount Kisco, N.Y.)
|September 1, 1996
PubMed
Summary
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Transient high-intensity embolic signals detected during cerebral angiography are often asymptomatic air emboli. Techniques like reducing contrast injection speed can minimize these signals.

Area of Science:

  • Neurology
  • Medical Imaging
  • Biomedical Engineering

Background:

  • Transcranial Doppler (TCD) monitoring detects embolic signals in cerebral angiography.
  • These signals are frequent during contrast injection and catheter manipulation.
  • Current understanding suggests most signals are asymptomatic air emboli.

Purpose of the Study:

  • To investigate the nature and origin of transient high-intensity embolic signals during cerebral angiography.
  • To explore methods for reducing the occurrence of these embolic signals.
  • To assess the potential for distinguishing between air and particulate emboli.

Main Methods:

  • Utilized transcranial Doppler monitoring of middle cerebral artery blood flow velocity.
  • Analyzed signal occurrences during contrast injection, catheter/wire manipulation, and saline flushes.

Related Experiment Videos

  • Referenced experimental flow and animal models to determine signal composition.
  • Main Results:

    • Embolic signals are frequently observed during cerebral angiography, particularly with contrast injection.
    • Experimental studies indicate the majority of these signals are likely air emboli.
    • Reducing contrast injection speed and allowing contrast to stand before injection can decrease signal frequency.

    Conclusions:

    • Most embolic signals during cerebral angiography appear to be asymptomatic air emboli.
    • Techniques exist to reduce the introduction of air emboli during the procedure.
    • Future technological advancements may enable differentiation between air and particulate emboli.