Application of transcranial Doppler ultrasonography in cardiovascular surgery

doi:10.3969/j.issn.1672-6731.2024.02.004

Abstract

Abstract:

The neurological complications following cardiovascular surgery can significantly affect the prognosis of patients. As a convenient and non-invasive intraoperative neurological monitoring method, transcranial Doppler ultrasonography (TCD) can provide real-time assessment of cerebral hemodynamics and microemboli signals, guide the development of neuroprotective strategies, and reduce the brain injury events. This review systematically summarizes the basic methods and technical performance of TCD monitoring, its clinical application in cardiovascular surgery, as well as the main limitations and future trends of this technology, in order to improve perioperative safety.

Key words: Cardiovascular diseases, Nervous system diseases, Postoperative complications, Ultrasonography, Doppler, transcranial, Review

摘要：

心血管外科手术后神经系统并发症严重影响患者预后。经颅多普勒超声（TCD）作为一种无创性、便捷的神经监测技术，可以实时反映脑血流动力学改变，进行微栓子评价、指导脑保护措施制定，减少脑损伤的发生。本文综述TCD在心血管外科手术中的应用，以为提高围手术期安全性提供理论依据。

关键词: 心血管疾病, 神经系统疾病, 手术后并发症, 超声检查，多普勒，经颅, 综述

Ying-hua ZHOU, Gui-tao ZHANG, Qi-lin ZHOU, Ya-jun MA, Shu-juan LI. Application of transcranial Doppler ultrasonography in cardiovascular surgery[J]. Chinese Journal of Contemporary Neurology and Neurosurgery, 2024, 24(2): 79-83.

周瑛华, 张贵涛, 周琪琳, 马雅军, 李淑娟. 经颅多普勒超声在心血管外科手术中的应用[J]. 中国现代神经疾病杂志, 2024, 24(2): 79-83.

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