Point-of-care ultrasound for stroke patients in the emergency room.


Journal

Journal of medical ultrasonics (2001)
ISSN: 1613-2254
Titre abrégé: J Med Ultrason (2001)
Pays: Japan
ID NLM: 101128385

Informations de publication

Date de publication:
Oct 2022
Historique:
received: 12 08 2021
accepted: 10 11 2021
pubmed: 4 2 2022
medline: 10 11 2022
entrez: 3 2 2022
Statut: ppublish

Résumé

Stroke requires rapid determination of the cause to provide timely and appropriate initial management. Various ultrasonographic techniques have been evaluated as ways to determine the cause of stroke; among them, carotid artery ultrasonography is particularly useful since it provides considerable information within a short time period when used to evaluate a specific site. In the emergency room, carotid artery ultrasonography can be used to diagnose internal carotid artery stenosis, predict an occluded vessel, and infer the cause of ischemic stroke. Additionally, carotid artery ultrasonography can diagnose different conditions including subclavian artery steal syndrome, bow hunter's stroke, Takayasu's arteritis, moyamoya disease, and dural arteriovenous fistula. Furthermore, patients with ischemic stroke with a pulse deficit or hypotension must be differentiated from acute type A aortic dissection, which requires emergency surgery; carotid artery ultrasonography can immediately differentiate between the two conditions by identifying the intimal flap of the common carotid artery. The following article provides an overview of carotid artery ultrasonography performed as point-of-care ultrasound in the emergency room in patients with suspected stroke.

Identifiants

pubmed: 35112168
doi: 10.1007/s10396-021-01185-0
pii: 10.1007/s10396-021-01185-0
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

581-592

Informations de copyright

© 2022. The Author(s), under exclusive licence to The Japan Society of Ultrasonics in Medicine.

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Auteurs

Hidehiro Takekawa (H)

Stroke Center, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, 321-0293, Japan. take@dokkyomed.ac.jp.
Department of Neurology, Dokkyo Medical University, Tochigi, Japan. take@dokkyomed.ac.jp.
Center of Medical Ultrasonics, Dokkyo Medical University, Tochigi, Japan. take@dokkyomed.ac.jp.

Daisuke Tsukui (D)

Stroke Center, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, 321-0293, Japan.
Department of Neurology, Dokkyo Medical University, Tochigi, Japan.

Saro Kobayasi (S)

Stroke Center, Dokkyo Medical University, 880 Kitakobayashi, Mibu, Shimotsuga, Tochigi, 321-0293, Japan.
Department of Neurology, Dokkyo Medical University, Tochigi, Japan.

Keisuke Suzuki (K)

Department of Neurology, Dokkyo Medical University, Tochigi, Japan.

Hirotoshi Hamaguchi (H)

Department of Neurology, Kita-Harima Medical Center, Hyogo, Japan.

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