MedStar Authors catalog › Details for: Transcranial Doppler velocity and associations with delayed cerebral ischemia in aneurysmal subarachnoid Hemorrhage.
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Transcranial Doppler velocity and associations with delayed cerebral ischemia in aneurysmal subarachnoid Hemorrhage.

by Chang, Jason J; Triano, Matthew; Corbin, Maite J; Desale, Sameer; Liu, Ai-Hsi; Felbaum, Daniel R; Mai, Jeffrey C; Armonda, Rocco A; Aulisi, Edward.
Citation: Journal of the Neurological Sciences. 415:116934, 2020 May 20..Journal: Journal of the neurological sciences.Published: ; 2020ISSN: 0022-510X.Full author list: Chang JJ; Triano M; Corbin MJ; Desale S; Liu AH; Felbaum DR; Mai JC; Armonda RA; Aulisi EF.UI/PMID: 32526525.Subject(s): IN PROCESS -- NOT YET INDEXEDInstitution(s): MedStar Washington Hospital Center | MedStar Heart & Vascular InstituteDepartment(s): Surgery/Surgical Critical Care | Radiology | NeurosurgeryActivity type: Journal Article.Medline article type(s): Journal ArticleOnline resources: Click here to access online Digital Object Identifier: https://dx.doi.org/10.1016/j.jns.2020.116934 (Click here) Abbreviated citation: J Neurol Sci. 415:116934, 2020 May 20.Abstract: BACKGROUND AND PURPOSE: We evaluated optimal transcranial Doppler (TCD) measures for predicting delayed cerebral ischemia (DCI) after aneurysmal subarachnoid hemorrhage (aSAH).Abstract: MATERIAL AND METHODS: Consecutive patients with aSAH and daily middle cerebral artery (MCA) TCD recordings were retrospectively analyzed. Change in TCD velocity was obtained by creating a smoothing curve. Change in TCD velocity was determined with a linear regression model that confirmed greatest change in velocity associated with DCI occurred at days 2-7. Multivariate logistic regression analysis was then completed.Abstract: RESULTS: 95 patients were evaluated. Increase in TCD velocity at days 2-7 proved to be the best predictor for DCI with an optimal cutoff of 8.9 cm/s/day (p = .019) and AUC 0.651. Multivariate logistic regression analysis using DCI as outcome showed that poor admission Hunt-Hess scores (OR 5.02, 95%CI 1.22-22.67, p = .028) and increases in TCD velocity (OR 5.32, 95%CI 1.41-23.33, p = .018) were independently associated with DCI.Abstract: CONCLUSIONS: We found that relative increases in TCD velocities in the MCAs during the first 7 days (with a threshold increase of 53.4 cm/s from days 2 to 7) after aSAH admission were independently associated with DCI. This association requires independent confirmation. Copyright (c) 2020 Elsevier B.V. All rights reserved.

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