[PDF] Cerebrovascular Evaluation With Doppler Ultrasound eBook

Author : M.P. Spencer
Publisher : Springer Science & Business Media
Page : 323 pages
File Size : 45,35 MB
Release : 2012-12-06
Category : Medical
ISBN : 9400982046

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This book represents tangible results of the Institute of Applied Physiology and Medicine's objectives of bringing into clinical application the concepts and results of bioengineers and physiologists. lt has grown out of our experience in development of original Doppler diagnostic instrumentation and its application to more than 6,000 patients in non-invasive diagnosis of the extracranial cerebrovascular circulation. It gath ers together bioengineering and physiological concepts which were initially developed for a graduate course for physicians and specialized medical tech nicians. lt should be of particular interest to physicians and medical technol ogists whose specialties lie in the field of neurology, vascular surgery, and radiology. The particular selection of techniques on our complete cerebrovascular non-invasive evaluation was chosen primarily to provide an integrated approach relying primarily on Doppler ultrasonic audio signals, but in addition utilizing a pertinent history and physical examination of the patient. The examination is performed by a specially trained physiology technician. Suffi cient data is provided to the interpreting physician who develops a consulta tive report for the referring physician. The ultimate objective is prevention of stroke and symptoms of cerebrovascular insufficiency. The Doppler functional information supplements the angiography anatomical management decisions for angiography and surgery, anti-platelet or anti-coagulant medication, or to follow the patient with no special treatment.

Author : M.P. Spencer
Publisher : Springer
Page : 256 pages
File Size : 35,31 MB
Release : 2011-11-20
Category : Medical
ISBN : 9789400982055

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This book represents tangible results of the Institute of Applied Physiology and Medicine's objectives of bringing into clinical application the concepts and results of bioengineers and physiologists. lt has grown out of our experience in development of original Doppler diagnostic instrumentation and its application to more than 6,000 patients in non-invasive diagnosis of the extracranial cerebrovascular circulation. It gath ers together bioengineering and physiological concepts which were initially developed for a graduate course for physicians and specialized medical tech nicians. lt should be of particular interest to physicians and medical technol ogists whose specialties lie in the field of neurology, vascular surgery, and radiology. The particular selection of techniques on our complete cerebrovascular non-invasive evaluation was chosen primarily to provide an integrated approach relying primarily on Doppler ultrasonic audio signals, but in addition utilizing a pertinent history and physical examination of the patient. The examination is performed by a specially trained physiology technician. Suffi cient data is provided to the interpreting physician who develops a consulta tive report for the referring physician. The ultimate objective is prevention of stroke and symptoms of cerebrovascular insufficiency. The Doppler functional information supplements the angiography anatomical management decisions for angiography and surgery, anti-platelet or anti-coagulant medication, or to follow the patient with no special treatment.

Author : M.P. Spencer
Publisher : Springer Science & Business Media
Page : 310 pages
File Size : 25,37 MB
Release : 2012-12-06
Category : Medical
ISBN : 9400943059

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This book is designed as a definitive report on current capabilities of ultrasound imaging and Doppler evaluation of the cerebral circulation, both extracranial and intracranial. The basic chapters are directed to the beginner in ultrasound and hemodynamics and for the expert in updating newly available modalities and techniques new to the field. The ultrasonic and hemodynamic principles are presented for physicians and vascular technologists in a practical way to avoid unnecessary mathematics. The aim is for maximum clinical utilization so that available equipment may be used more efficiently and provide more accurate diagnosis. The selection of authors represents a wide range of the expertise available in the world today. M.P. Spencer Contents Preface V Contributors IX 1. Introduction 1 Merrill P. Spencer, M.D. 2. Ultrasound physical concepts 7 Merrill P. Spencer, M.D., Ronald E. Hileman, Ph.D., John M. Reid, Ph.D 3. Doppler instrumentation 29 Robert S. Reneman, MD., Ph.D., A.P.G. Hoeks, Ph.D. 4. Normal anatomy, anatomical anomalies and collateral Pathways of the blood supply to the brain 43 Robert Ackerstaff, M.D. 5. Normal blood flow in the arteries 57 Merrill P. Spencer, M.D. 6. Normal physiology and pathophysiology of human cerebral blood fuw ~ P.C.M. Mosmans, M.D., E.J. Jonkman, M.D.

Author : Michael G. Hennerici
Publisher : Cambridge University Press
Page : 538 pages
File Size : 49,8 MB
Release : 2001-10-25
Category : Medical
ISBN : 9780521632232

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This comprehensive text covers the fundamentals and clinical applications of cerebrovascular ultrasound in all ages.

Author : Andrei V. Alexandrov
Publisher : John Wiley & Sons
Page : 308 pages
File Size : 28,2 MB
Release : 2011-07-05
Category : Medical
ISBN : 1444348140

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Effective stroke therapy can be improved through real-time monitoring of the neurological and cardiovascular responses to treatment. This requires crucial knowledge on behalf of both the sonographer and stroke physician to make the best decisions for the patient so as to minimize the damage caused by the original stroke and the risk of further stroke. Cerebrovascular Ultrasound in Stroke Prevention and Treatment, Second Edition, takes a practical approach to the examination of patients, the interpretation of ultrasound studies and the application of cerebrovascular ultrasound in the development of management and treatment studies, assisting neurologists, radiologists, and ultrasonographers in stroke therapy.

Author : Rune Aaslid
Publisher : Lippincott Raven
Page : 364 pages
File Size : 48,20 MB
Release : 1992
Category : Medical
ISBN :

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This important reference provides complete and current information on the applications of transcranial Doppler ultrasound in the evaluation of cerebrovascular diseases. The book gives practical instructions for performing examinations, explains how to interpret results, provides essential data on normal values, and describes the use of the technique in specific clinical situations such as stroke, head injury, subarachnoid hemorrhage and vasospasm, arteriovenous malformations, and monitoring during carotid surgery. Coverage includes thorough discussions on recent clinical studies, new refinements in transcranial Doppler sonography, and new applications such as monitoring of critically ill patients and detection of cerebral emboli in patients with suspected transient ischemic symptoms. The book also offers comprehensive guidelines on the pediatric applications of transcranial Doppler. More than 200 illustrations, including 20 in full color, complement the text.

Author : Rune Aaslid
Publisher : Springer Science & Business Media
Page : 187 pages
File Size : 17,35 MB
Release : 2012-12-06
Category : Medical
ISBN : 3709188644

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Every few years a dissertation comes to the area of clinical application of medical technology which carries us forward as on a magic carpet into new regions of understanding and patient care. This book is such a magic carpet. It brings together, in a clear and incisive fashion, important hemodynamic principles with a simple noninvasive method of application to a part of the cerebral vasculature which has been relatively inaccessible. To the lucky and perceptive person who reads this book, a feeling of excitement and hope for progress is engendered. The diligent application of the potentials of transcranial Doppler ultrasound brings new power to our efforts in understanding the cerebral circulation and the causes, treatment and prevention of cerebrovascular disorders. Merrill P. Spencer, M. D. Director Institute of Applied Physiology and Medicine Seattle, Wash. , July 1986 Acknowledgements I am greatly indebted to Prof. He1ge Nornes, Oslo, who introduced me to the fascinating study of cerebral hemodynamics in the early 1970's and since then continually encouraged my interest in this field. It was through his pioneering work on the cerebral circulation-using peroperative electromagnetic flowmetry and Doppler techniques-that the basis was laid for the noninvasive trans cranial approach to the circle of Willis described in this book. I also gratefully acknowledge the stimulating case discussions with Prof. Peter Huber, Berne, at the very early introduction of trans cranial Doppler, the inspiring exchange of ideas with Dr. Merrill P.

Author : Viken L. Babikian
Publisher : Butterworth-Heinemann
Page : 456 pages
File Size : 23,37 MB
Release : 1999
Category : Medical
ISBN :

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The Second Edition of this highly regarded text provides a current reference source on the clinical and research applications of Transcranial Doppler (TCD) ultrasonography. All of the chapters have been updated to reflect the rapid evolution that has taken place in the field. New information has been included on the increased use of TCD in the operating room, the introduction of contrast media, and the development of new softwares that permit the detection of microemboli.

Author : John P. McCartney
Publisher : Springer Science & Business Media
Page : 99 pages
File Size : 17,57 MB
Release : 2012-12-06
Category : Medical
ISBN : 1461218829

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Transcranial Doppler (TCD) ultrasound, first introduced more than a decade ago, has steadily evolved into a dynamic, reliable, reproducible, and practical diagnostic tool. Clinical neuroscientists have found TCD to be an indispensable technique in the management of many types of patients. This book is designed to provide basic instruction in the perfor mance and interpretation of transcranial Doppler ultrasonography for technologists, nurses, and physicians. The information included in the text is critical for the development of a strong knowledge base. It is not intended to be all inclusive, and the TCD novice is likely to use it as the platform upon which to build his/her experience in the application of TCD. This book is organized as a step-guided approach for the performance of TCD, and it includes specific guidelines for interpretation of the TCD save forms. We hope that the reader finds it useful during what we think is the most difficult phase of this technique-the learning curve. John P. McCartney, R.V.T. Kathleen M. Thomas-Lukes, R.N., M.N.