Academic Journal
Placing intracerebral probes to optimise detection of delayed cerebral ischemia and allow for the prediction of patient outcome in aneurysmal subarachnoid haemorrhage
| العنوان: | Placing intracerebral probes to optimise detection of delayed cerebral ischemia and allow for the prediction of patient outcome in aneurysmal subarachnoid haemorrhage |
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| المؤلفون: | Tholance, Yannick, Barcelos, Gleicy K, Perret-Liaudet, Armand, Omar, Edris, Carrillon, Romain, Grousson, Sébastien, Lieutaud, Thomas, Dailler, Frédéric, Marinesco, Stéphane |
| المصدر: | Journal of Cerebral Blood Flow & Metabolism ; volume 37, issue 8, page 2820-2832 ; ISSN 0271-678X 1559-7016 |
| بيانات النشر: | SAGE Publications |
| سنة النشر: | 2016 |
| الوصف: | Cerebral microdialysis could be useful to detect delayed cerebral ischemia in aneurysmal subarachnoid haemorrhage patients. The optimal location of the probes, however, remains controversial. Here, we determined the vascular territories with the highest infarct risk in relation to aneurysm location to define probe implantation guidelines. These guidelines were retrospectively validated by studying the likelihood of probe to fall in a secondary infarct area, and by analysing their influence to predict patient outcome. The vascular territories with highest risk of infarction were the anterior cerebral arteries for anterior communicating artery aneurysms and the ipsilateral middle cerebral artery for internal carotid artery, posterior communicating artery and middle cerebral artery aneurysms. When cerebral microdialysis probes had been implanted in these territories, 79% were located within an infarcted area versus 54% when they were implanted in other territories. Delayed cerebral ischemia was detected only when the probe was located within a brain area later affected by secondary infarction, which could justify the use of implantation guidelines. Moreover, individual patient outcomes could be predicted when probes were placed in the brain territories as suggested by this study. Thus, a precise probe placement algorithm can improve delayed cerebral ischemia detection sensitivity and allow for a better prediction concerning patient outcome. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| DOI: | 10.1177/0271678x16675880 |
| DOI: | 10.1177/0271678X16675880 |
| الاتاحة: | http://dx.doi.org/10.1177/0271678x16675880 http://journals.sagepub.com/doi/pdf/10.1177/0271678X16675880 http://journals.sagepub.com/doi/full-xml/10.1177/0271678X16675880 |
| Rights: | http://journals.sagepub.com/page/policies/text-and-data-mining-license |
| رقم الانضمام: | edsbas.56C13225 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1177/0271678x16675880 |
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