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Neurosonology in Critical Care pp 411–420Cite as

Aneurysmal Subarachnoid Hemorrhage and Endovascular Treatment: Usefulness of Transcranial Doppler (TCD/TCCS) for Cerebral Hemodynamic Monitoring

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Abstract

Subarachnoid hemorrhage is a devastating disease with high morbidity and mortality and multiple neurological and systemic complications. Delayed cerebral ischemia due to vasospasm is the most frequent neurological complication, and related symptoms may develop in up to 30% of cases.

Transcranial Doppler (TCD) is an accessible tool, applicable for monitoring cerebral blood flow velocities (CBFVs) and hemodynamic indexes derived from them. Its characteristics make it very useful for the detection and monitoring of vasospasm, which is crucial for the clinical management of patients with this pathology.

Likewise, its applicability extends to the diagnosis of non-ruptured intracranial aneurysms, and in association with other imaging techniques, it can be useful in the evaluation of recanalization of previously treated aneurysms. For small aneurysms, the use of echo-contrast increases the diagnostic sensitivity of TCD. The incorporation of new technologies could extend its application to other fields such as intraoperative monitoring.

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Authors and Affiliations

  1. Cerebral Vascular Pathology Unit, Hospital Clínic, Barcelona, Spain

    Laura Llull Estrany

Authors
  1. Laura Llull Estrany
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Correspondence to Laura Llull Estrany .

Editor information

Editors and Affiliations

  1. Department of Critical Care, University of Buenos Aires, Buenos Aires, Argentina

    Camilo N. Rodríguez

  2. Stroke Unit & Neurosonology Lab, University of Padua School of Medicine, Padova, Italy

    Claudio Baracchini

  3. Department of Critical Care and Anesthesiology, Fundación Valle del Lili, Cali, Colombia

    Jorge H. Mejia-Mantilla

  4. Department of Clinical Neurosciences Cambridge Biomedical Campus, University of Cambridge, Cambridge, UK

    Marek Czosnyka

  5. Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA

    Jose I Suarez

  6. President of Hungarian Neurological Society, Department of Neurology, Clinical Center Debrecen University, Debrecen, Hungary

    László Csiba

  7. Intensive Care Unit, Clinics Hospital, Universidad de la Republica School of Medicine, Montevideo, Uruguay

    Corina Puppo

  8. Center for Neurological Vascular Diagnostics, Munich, Germany

    Eva Bartels

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Llull Estrany, L. (2022). Aneurysmal Subarachnoid Hemorrhage and Endovascular Treatment: Usefulness of Transcranial Doppler (TCD/TCCS) for Cerebral Hemodynamic Monitoring. In: Rodríguez, C.N., et al. Neurosonology in Critical Care . Springer, Cham. https://doi.org/10.1007/978-3-030-81419-9_24

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  • DOI: https://doi.org/10.1007/978-3-030-81419-9_24

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81418-2

  • Online ISBN: 978-3-030-81419-9

  • eBook Packages: MedicineMedicine (R0)

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