Arterial inflows as compared with their venous outflows

Putting Hemodynamics at the Center: A Systemic Approach to Teaching Vascular Ultrasound

Putting Hemodynamics at the Center: A Systemic Approach to Teaching Vascular Ultrasound, Miriam Teft, MBA, RDMS, RVT (https://doi.org/10.1177/87564793221096778) from the Journal of Diagnostic Medical Sonography is a must-read for the novice vascular ultrasound student and their educators and mentors to develop a solid, evidence-based appreciation of what vascular sonography offers to the clinician treating patients. […]

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PFOs and TCD

“Estimation of patent foramen ovale size using transcranial Doppler ultrasound in patients with ischemic stroke.” Grisold A, Rinner W, Paul A, Gabriel H, Klickovic U, Wolzt M, et al. Journal of Neuroimaging. 2021;1–7. https://lnkd.in/gwxTeQTi These clinicians and researchers from the Medical University of Vienna, Austria, demonstrate that “TCD with step-wise barometric standardization allows an estimation of

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ASNM and ASN joint guidelines for transcranial Doppler ultrasonic monitoring: An update

Razumovsky AY, Jahangiri FR, Balzer J, et al. J Neuroimaging 2022;1–17. https://lnkd.in/eKWNpUMK A rapidly growing literature shows that essential hemodynamic information provided by transcranial Doppler (TCD) ultrasonography neuromonitoring (TCDNM) provides an effective monitoring modality for improving outcomes after many vascular, neurosurgical, orthopedic, cardiovascular, and cardiothoracic surgeries and for some endovascular interventional or diagnostic procedures, like

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TCAR in the news 

TCAR was in the news at the February 2022 International Stroke Conference. The acronym is short for “transcarotid artery revascularization” stenting. Less than a year ago the Society for Vascular Surgery published online recommendations for the treatment of extracranial carotid disease noting that “TCAR is superior or preferable to TF-CAS [transfemoral carotid artery stenting] or

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Collaterals and TCD

“TCD to evaluate postreperfusion therapy following acute ischemic stroke: A literature review” by Shahripour RB, Azarpazhooh MR, Akhuanzada H, Labin E, Borhani-Haghighi A, Agrawal K, Meyer D, Meyer B, Hemmen TM. J Neuroimaging. 2021;1–9. https://lnkd.in/dfjJcpTw Since the thrombectomy window has been extended to 24 hours from 6 hours based on the recent 2018 American Heart Association

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Emboli Monitoring for Infective Endocarditis

“Transcranial Doppler Emboli Monitoring for Infective Endocarditis” by G Huang, LL Johnson, JE Peacock Jr, C Tegeler, K Davis, and A Sarwal. Online now at https://lnkd.in/dQYgyKg. Infective endocarditis (IE) has variable clinical manifestations with a complex of complications presenting as symptoms. Some neurological complications of IE are embolic stroke, intracerebral hemorrhage, and brain abscess. Ischemic stroke

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Brain topography on adult ultrasound images: Techniques, interpretation, and image library

Kapoor S, Offnick A, Allen B, Brown PA, Sachs JR, Gurcan MN, Pinton G, D’Agostino R Jr, Bushnell C, Wolfe S, Duncan P, Asimos A, Sarwal A. See J Neuroimaging. 2022 Aug 4. DOI: 10.1111/jon.13031. Epub ahead of print. PMID: 35924877.https://lnkd.in/ec5z-y6J CT and MRI have become the most common modalities for detection of intracranial pathology.

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TCD & Thunderclap Headache

“Transcranial doppler findings in reversible cerebral vasoconstriction syndrome” is a short communication in the Journal of Neuroimaging (Hathidara M, Patel NH, Flores A, Cabrera Y, Cabrera F, Koch S. J Neuroimaging. 2021;1–7. https://lnkd.in/gjjkrEBQ). There is a modest suggestion: “TCD may be a useful screening tool to detect abnormal trends to increase yield of repeated angiograms.” The

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Giant cell arteritis (GCA) 

“Cervical duplex ultrasound for the diagnosis of giant cell arteritis with vertebral artery involvement” by O. Kargiotis, G. Tsivgoulis, et al.: https://lnkd.in/gp47nks Giant cell arteritis (GCA) is a systemic inflammatory arteriopathy of medium and large-sized arteries. It is the most common systemic vasculitis, and ischemic stroke is a well-recognized complication. “The authors found that elevated inflammatory

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