Clinical study on the estimation of blood flow velocity using doppler ultrasound of the cerebral artery in stroke patients

도플러 초음파를 이용한 중풍환자(中風患者)의 뇌혈관(腦血管) 혈류측정(血流測定)에 관한 임상적(臨床的) 연구(硏究) (경동맥(頸動脈), 추골동맥(椎骨動脈) 및 기저동맥(基底動脈)을 중심으로)

  • Chang, In-Su (Dept. of Internal Medicine, College of Oriental Medicine, Woo Suk University) ;
  • Sun, Jungn-Ki (Dept. of Internal Medicine, College of Oriental Medicine, Woo Suk University)
  • 장인수 (우석대학교 한의과대학 심계내과학교실) ;
  • 선중기 (우석대학교 한의과대학 심계내과학교실)
  • Published : 1996.04.30

Abstract

Background and Purpose: To evaluate the blood flow velocity using doppler ultrasound of the carotid artery, vertebral artery, and basilar artery in stroke patients Material and Methods: To evaluate the blood flow, I measured the peak systolic velocity and mean velocity of the common carotid artery(CCA), internal carotid artery(ICA), external carotid artery (ECA). vertebral artery(VA), and basilar artery(BA) in 44 stroke patients and 15 healthy adults. To investigate the difference between ischemic stroke patients and normal healthy adults, I selected 44 ischemic stroke patients diagnosed by brain CT and brain MRI, and 15 healthy adults who did not have any symptoms of stroke, hypertension, heart disease, and diabetes melitus. Results: Peak velocity in normal adults was 50.6${\pm}$1.6cm/sec in the CCA, 67.2${\pm}$1.7cm/sec in the ICA, 62.5${\pm}$2.4cm/see in the ECA, 45.5${\pm}$1.9cm/sec VA. and 50.5${\pm}$3.5cm/sec in the BA. Mean velocity in normal adults was 26.9${\pm}$1.1cm/sec in the CCA, 43.7${\pm}$1.4cm/sec in the ICA, 26.7${\pm}$1.3cm/sec in the ECA. 31.6${\pm}$1.9cm/sec in the VA and 33.0${\pm}$2.6cm/sec in the BA. In this study, there was a significant increase in the velocity of ICA, ECA, and VA of ischemic stroke patients in comparison with normal healthy adults. And the blood flow velocity of this study in the CCA and ECA was different from other reported foreign values and the other known values in my country. Conclusion: There was a significant difference in the blood flow velocity between ischemic stroke patients and normal healthy adults. And the blood flow velocity of this study was different from other reported foreign values and the other known values in my country. Therefore, it needs more detailed studies about old aged Korean and ischemic stroke patients than previous studies.

Keywords

References

  1. 東醫心系內科學(上$\cdot$下) 全國韓醫科大學心系內科學敎室
  2. 肝系內科學 全國韓醫科大學肝系內科學敎室
  3. 신경외과학 대한신경외과학회
  4. 재활의학 김진호;한대윤
  5. 東醫寶鑑 許浚
  6. Stroke v.21 Ultrasound Technique Tools, J.F.
  7. Stroke v.25 Carotid Plaque, Aging, and Risk Factors Fabrizio, Fabris MD(外 7人)
  8. Stroke v.25 Arterial Enlargement in the Atherosclerosis Risk in Communities(ARIC) Cohort John, R.Crouse MD(外 7人)
  9. 초음파 해부 Atlas Swobodnik, W.(外 3人)
  10. Transcranial Doppler Sonography Aaslid, R.
  11. 大韓韓醫學會誌 v.15 no.2 Urokinase와 東醫學的療法으로 同時治療한 虛血性腦卒中患者 56例에 對한 臨床的 硏究 金仁燮
  12. Stroke v.25 B-Mode-Detected Carotid Artery Plaque in a General Population Rongling, Li MD(外 7人)
  13. 대한신경외과학회지 v.18 no.3 Doppler ultrasound를 이용한 뇌기저 동맥의 혈류속도 측정 권병덕(外 3人)
  14. 대한신경과학회지 v.9 no.3 Transcranial Doppler Ultrasound를 이용한 정상인의 뇌혈류속도 측정 안광병(外 2人)
  15. 대한방사선의학회지 v.29 no.2 내경동맥 결찰이 총경동맥의 도플러 양상에 미치는 영향에 관한 실험적 연구 서형심(外 3人)
  16. 대한신경과학회지 v.12 no.2 Transcranial Doppler를 이용한 정상군과 동맥경화군의 뇌혈관 반응성 평가 홍근식;노재규
  17. 대한방사선의학회지 v.31 no.3 색도플러 초음파를 이용한 한국 정상 성인의 경동맥 혈류 측정 문기호(外 6人)
  18. 經顱多普勒在神經外科的應用 華楊(外 7人)
  19. 又石大學校大學院 韓醫學碩士中間論文 Cranial Doppler를 이용한 뇌혈관 혈류측정에 대한 文獻的 考察 張仁壽
  20. Stroke v.21 Transient Monocular Visual Loss Patterns ajnd Associated Vascular Abnormalities Askiel, Bruno MD(外 4人)
  21. Stroke v.21 Noninvasive Study of Arterial Hypertension and Carotid Atherosclerosis Luigi, Lusiani MD(外 2人)
  22. Stroke v.23 Silent Stroke and Carotid Stenosis Norris, J.W. MD, FRCP(外 1人)
  23. Stroke v.23 Short-term Prognosis of Stroke Due to Occlusion of Internal Carotid Artery Based on Transcranial Doppler Ultrasonography Peter, Hedera MD(外 2人)
  24. Stroke v.24 Transhemipheric Passage of Microemboli in Patients With Unilateral Internal Carotid Artery Occlusion Dimitrios, Georgiadis MD(外 2人)
  25. Stroke v.25 Asymptomic Carotid Lesions and Silent Cerebral Infarction Hidetaka, Hougaku MD(外 6人)
  26. Stroke v.25 Cerebral Vasoreactivity in Unilateral Carotid Artery Disease Arve, Dahl MD(外 4人)
  27. Stroke v.23 Detection of Intracranial Emboli in Patients With Symptomatic Extracranial Carotid Artery Disease Mario, Siebler MD(外 2人)
  28. Stroke v.23 Prevalence and Determinants of Carotid Atherosclerosis in a General Population Patrizio, Prati MD(外 6人)
  29. Stroke v.24 Early Carotid Atherosclerosis in Healthy Middle-Aged Woman Claire, Bonithon-Kopp MD(外 5人)
  30. Stroke v.23 Reproductibility of Noninvasive Ultrasonic Measurement of Carotid Atherosclerosis - The Asymptomatic Carotid Artery Plaque Study Ward, A.Riley PhD(外 7人)
  31. Stroke v.23 Distribution and Correlates of Sonographically Detected Carotid Artery Disease in the Cardiovascular Health Study Daniel, H.O'Leary MD(外 9人)
  32. Stroke v.24 Predictors of Carotid Stenosis in Older Adults With and Without Isolated Systolic Hypertension Kim, Sutton-Tyrrell DrPH(外 4人)
  33. Stroke v.24 Carotid Stenosis and Perioperative Stroke Risk in Symptomatic and Asymptomatic Patients Undergoing Vascular or Coronary Surgery Richard, P.Gerraty MB,BS(外 2人)
  34. Stroke v.21 Magnetic Resonance Imaging of Flow Dynamics in the Circle of Willis Robert, R.Edelman MD(外 5人)
  35. Stroke v.23 Prevalence of Extracranial Carotid Artery Dikease Detectable by Echo-Doppler in an Elderly Population Pujia, A.MD(外 2人)
  36. Stroke v.23 Ultrasonic Measurement of the Elastic Modulus of the Common Carotid Artery Ward, A.Riley PhD(外 3人)
  37. Stroke v.22 Carotid Surgery Versus Medical Therapy in Asymptomatic Carotid Stenosis The CASANOVA Study Group
  38. Stroke v.23 Relation Between Midle Cerebral Artery Blood Flow Velocity and Stump Pressure During Carotid Endarterectomy Merrill, P.Apence MD(外 2人)
  39. Stroke v.24 Comparison of Diagnostic Techniques for the Detection of a Patient Foramen Ovale in Stroke Patient Marco, Di Tullio MD(外 5人)
  40. Stroke v.24 Carotid Artery Initmal-Medical Thickness Distribution in General Populations As Evaluated by B-Mode Ultrasound George, Howard DrPH(外 6人)
  41. Stroke v.24 Between-Method Correlation in Quantifying Internal Carotid Stenosis Sitzer, M.MD(外 7人)
  42. Stroke v.25 Blinded-Reader Comparison of Magnetic Resonance Angiography and Duplex Ultrasonography for Carotid Artery Bifurcation Stenosis Robert, L.Mittle Jr.MD(外 7人)
  43. Stroke v.25 Usefulness of an Intravenous Contrast Medium in the Characterization of High-Grade Internal Carotid Stenosis With Color Doppler-Assisted Duplex Imaging Matthias, Sitzer MD(外 3人)
  44. Stroke v.25 Comparison of Magnetic Resonance Volume Flow Rates, Angiography, and Carotid Dopplers Ross, L.Levine MD(外 3人)
  45. Stroke v.25 Spatial Distribution of Carotid Intimal-Medial Thickness as Measured by B-Mode Ultrasonography Mark, A.Espeland PhD(外 5人)
  46. Stroke v.25 Estimation of Arterial Stiffness, Compliance, and Distensibility From M-Mode Ultrasound Measurements of the Common Carotid Artery Gamble, G. MSC(外 4人)
  47. Stroke v.25 Estimation of Cerebral Blood Flow Though Color Duplex Sonography of the Carotid and Vertebral Arteries in Healthy Adults Martin, Schoning MD(外 2人)
  48. Stroke v.25 Initial Experience With Intravascular Ultrasound Imaging During Carotid Endarterectomy Ronald, Karnik MD(外 4人)
  49. Stroke v.25 Premature Carotid Atherosclerosis : Does It Occur in Both Familial Hypercholestrolemia and Hemcystinuria? Paolo, Rubba MD(外 10人)
  50. Stroke v.25 Noninvasive Monitoring of Internal Carotid Artery Dissection Wolfgang, Steinke MD(外 3人)
  51. Stroke v.25 Effect of Carotid Endarterectomy on Patterns of Cerebrovascular Reactivity in Patients With Unilateral Carotid Artery Stenosis Wolfgang, H.Hartl MD(外 2人)