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Ultrasound enables us to monitor the cardiovascular system and brain responses to treatment in real time; a genuine blessing on the route to more effective stroke therapies, and an invaluable tool with which to tailor treatment when available evidence is meagre. Ultrasound is a vital observational tool, yet a probe needs a scientist to point it in the right direction and a skilled physician to synthesise scientific data with practical management strategies. This book, intended for clinicians who are eager to learn and prepared to observe, focusses on the examination of stroke patients, the interpretation of ultrasound studies, and the application of cerebrovascular ultrasound to management and treatment strategies. Produced by an international team of contributors and edited at the University of Texas, one of the major world centres in stroke research, it is a practical volume that can be used by beginners to learn the principles of ultrasound testing, by advanced users to learn differential diagnosis, and by clinicians (non-sonographers) who treat stroke patients. The latter will gain knowledge on how to apply ultrasound, and what to expect from it in terms of clinical decision making and treatment selection.
Ultrasound provides a unique diagnostic perspective in cerebrovascular disorders, with extremely high temporal resolution and excellent spatial display of extracranial arteries, brain structures and cerebral vessels. This comprehensive text covers the fundamentals of ultrasound physics, new technology, and clinical applications in all ages. It provides a firm grounding in hemodynamics and describes computational models for study of the cerebral circulation. Extracranial applications in assessing the carotid and vertebral arteries are discussed in detail, as are intracranial Doppler applications in stroke, subarachnoid hemorrhage, arteriovenous malformations, interventional and surgical procedures, and the detection and monitoring of cerebral microembolism. These and other topics, both clinical and technical, are presented by leading authorities in the field, with extensive illustrations, and tables are included for the standardized classification of cerebrovascular diseases based on international consensus conferences. For clinicians and clinical neuroscientists this is the definitive reference text in cerebrovascular ultrasound.
Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.
This comprehensive textbook on current neurovascular examination includes continuous wave Doppler sonography, duplex sonography with B-mode imaging, pulsed Doppler & color-coded Doppler flow imaging, as well as Doppler sonography of the intracranial arteries. The book reflects the authors' 17-year experience in this field. It includes chapters on basic technology, anatomy & haemodynamics, & introduces the various examination techniques. The criteria for the different lesions are extensively discussed together with the most common pitfalls. The key features of the book are: physical & technical principles; anatomic principles; haemodynamic principles; Doppler sonography of the cervical vessels-examination technique & differentiation; diagnostic parameters of Doppler spectral analysis; duplex scanning of the cervical vessels; periorbital Doppler examination; Doppler examination of the basal cerebral arteries (transcranial or intracranial doppler sonography); stenoses & occlusions of the extracranial carotid system; stenoses & occlusions of the subclavian artery; stenoses & occlusions of the brachiocephalic trunk; stenoses & occlusions of the vertebral arteries; intracranial doppler sonography in the investigations of cerebrovascular stenoses & occlusions; fistulas & angiomas; serial examinations & monitoring; sample documentation sheets.
Ultrasound is used to demonstrate and classify numerous vascular diseases and provides a firm basis for deciding the most appropriate interventional treatment. Practical Vascular Ultrasound: An Illustrated Guide delivers a hands-on, practical approach to the diagnosis of vascular disease. Providing an overview of performing vascular ultrasounds, th
The use of neurovascular ultrasound is of increasing importance in neurological practice, both for radiologists and increasingly by neurologists themselves. Written by the world’s most renowned expert, this book explains ultrasound examination of a stroke patient scanning protocols interpretation of the results Case examples (with a standard template presentation correlating presentation to waveform output) reinforce the book's practical nature. Illustrated with photos of the tests, explanations, and with actual waveforms, images, and result interpretation, and enhanced with 'pearls' and 'avoiding pitfalls' features, it is a practical reference for those learning ultrasound as well as those using ultrasound in their practices.
"Keeping pace with the technical advancements and broadening capabilities of vascular ultrasound can be a challenge. This comprehensive, how-to guide delivers both the technical know-how and the analytical skills you need to obtain clinically relevant results and sharpen your interpretive skills. Inside you'll discover detailed coverage of abdominal vasculature, peripheral arteries, hemodialysis and bypass grafts, peripheral veins, penile vessels, and the cerebrovascular system -- all presented in a structured chapter format that makes sure you never miss step!"--Jaquette du livre.
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.
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.
This book provides an understanding of the underlying scientific principles in the production of B-mode and Colour Flow imaging and Spectral Doppler sonograms. A basic description of common vascular diseases is given along with a practical guide as to how ultrasound is used to detect and quantify the disease. Possible treatments of common vascular diseases and disorders are outlined. Ultrasound is often used in post-treatment assessment and this is also discussed. The role of ultrasound in the formation and follow-up of haemodialysis access is a growing field and is covered in detail.Practical step-by-step guide to peripheral vascular ultrasoundExplains the basic scientific principles of ultrasound instrumention and blood flowFully illustrated with 175 black and white scans, 150 colour scans and 220 black and white and colour line drawingsContributions from leading names in peripheral vascular ultrasoundAccompanying DVD. - Accompanying DVD includes cine loops of ultrasound scans in normal and diseased vessels and of optimum scans to show potential pitfalls and common mistakes. - Four new chapters and two new contributors, both clinical lecturers in vascular ultrasound. - New chapter on treatment techniques of particular interest to vascular surgeons who increasingly are required to learn basic scanning skills. - Sections on ultrasound instrumentation updated to cover new developments in equipment such as broadband colour imaging. - Current practices in all the vascular ultrasound applications covered are reviewed and updated.