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Related Experiment Videos

Transcranial color-coded sonography in basilar artery stenting.

Eckard Oehm1, Thomas Els, Joachim Spreer

  • 1Department of Neurology, University of Freiburg, Freiburg 79106, Germany. OEHM@nz.ukl.uni-freiburg.de

Ultrasound in Medicine & Biology
|April 30, 2002
PubMed
Summary

Transcranial color-coded sonography (TCCS) effectively monitors basilar artery (BA) patency after stenting. This noninvasive bedside technique confirms successful revascularization and detects stenosis, aiding post-procedure patient management.

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Area of Science:

  • Vascular Neurology
  • Interventional Neuroradiology
  • Diagnostic Ultrasound

Background:

  • Basilar artery (BA) stenting is a developing method for treating severe arteriosclerotic stenoses.
  • Limitations exist with current noninvasive follow-up techniques for BA interventions.

Observation:

  • Two patients with acute basilar artery occlusion secondary to thrombosis on severe stenoses underwent successful stenting.
  • Initial confirmation of stent placement was achieved via angiography.
  • Follow-up assessments utilized magnetic resonance angiography (MRA), computed tomographic angiography (CTA), and transcranial color-coded sonography (TCCS).

Findings:

  • Transcranial color-coded sonography (TCCS), performed via a transtemporal window, successfully monitored BA patency post-stenting.

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  • In one case, contrast-enhanced ultrasound was required.
  • TCCS revealed orthograde flow in the distal BA without significant stenosis in both patients, indicating successful revascularization.

    • Implications:

    • Transtemporal TCCS is a viable, noninvasive bedside tool for monitoring basilar artery patency after stenting.
    • This ultrasound technique offers a valuable alternative for post-procedural surveillance in patients with basilar artery disease.