Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
Predictive Value of Intraoperative Transcranial Doppler Hemodynamic Monitoring for Cerebral Hyperperfusion Syndrome After Carotid Artery Stenting.
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Zhang Yi, Chu Wenying, Wang Yu, Yang Qian
Аннотация
BACKGROUND: Cerebral hyperperfusion syndrome (CHS) is a potentially serious complication following carotid artery stenting (CAS). Conventional risk assessment methods may not adequately capture rapid intraoperative hemodynamic changes. Real-time transcranial Doppler (TCD) monitoring may provide valuable information for the early identification of patients at risk of CHS.
AIMS: To investigate the predictive value of intraoperative real-time hemodynamic monitoring using TCD ultrasonography for CHS following CAS.
METHODS: A total of 600 patients who underwent CAS were included. Factors associated with CHS were analyzed, and the predictive performance and clinical utility of TCD parameters measured at the T1 time point were evaluated.
RESULTS: Factors associated with CHS following CAS were identified. The combined use of TCD parameters at the T1 time point demonstrated high predictive value and substantial net clinical benefit.
CONCLUSION: TCD parameters measured at the T1 time point may be useful for predicting CHS following CAS and guiding clinical decision-making.
AIMS: To investigate the predictive value of intraoperative real-time hemodynamic monitoring using TCD ultrasonography for CHS following CAS.
METHODS: A total of 600 patients who underwent CAS were included. Factors associated with CHS were analyzed, and the predictive performance and clinical utility of TCD parameters measured at the T1 time point were evaluated.
RESULTS: Factors associated with CHS following CAS were identified. The combined use of TCD parameters at the T1 time point demonstrated high predictive value and substantial net clinical benefit.
CONCLUSION: TCD parameters measured at the T1 time point may be useful for predicting CHS following CAS and guiding clinical decision-making.