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Robotic Assisted Transcranial Doppler Monitoring in Acute Neurovascular Care: A Feasibility and Safety Study.
Fattorello Salimbeni, Alvise; Kulyk, Caterina; Favruzzo, Francesco; De Rosa, Ludovica; Viaro, Federica; Pieroni, Alessio; Mozzetta, Stefano; Vosko, Milan R; Baracchini, Claudio.
Afiliación
  • Fattorello Salimbeni A; Stroke Unit and Neurosonology Laboratory, Department of Neuroscience, University of Padua School of Medicine, Via Giustiniani 2, Padua, Italy. a.fattorellosalimbeni@gmail.com.
  • Kulyk C; Stroke Unit and Neurosonology Laboratory, Department of Neurology, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria.
  • Favruzzo F; Stroke Unit and Neurosonology Laboratory, Department of Neuroscience, University of Padua School of Medicine, Via Giustiniani 2, Padua, Italy.
  • De Rosa L; Stroke Unit and Neurosonology Laboratory, Department of Neuroscience, University of Padua School of Medicine, Via Giustiniani 2, Padua, Italy.
  • Viaro F; Stroke Unit and Neurosonology Laboratory, Department of Neuroscience, University of Padua School of Medicine, Via Giustiniani 2, Padua, Italy.
  • Pieroni A; Stroke Unit and Neurosonology Laboratory, Department of Neuroscience, University of Padua School of Medicine, Via Giustiniani 2, Padua, Italy.
  • Mozzetta S; Stroke Unit and Neurosonology Laboratory, Department of Neuroscience, University of Padua School of Medicine, Via Giustiniani 2, Padua, Italy.
  • Vosko MR; Stroke Unit and Neurosonology Laboratory, Department of Neurology, Kepler University Hospital GmbH, Johannes Kepler University, Linz, Austria.
  • Baracchini C; Stroke Unit and Neurosonology Laboratory, Department of Neuroscience, University of Padua School of Medicine, Via Giustiniani 2, Padua, Italy.
Neurocrit Care ; 2024 Sep 19.
Article en En | MEDLINE | ID: mdl-39300038
ABSTRACT

BACKGROUND:

Transcranial color Doppler (TCD) is currently the only noninvasive bedside tool capable of providing real-time information on cerebral hemodynamics. However, being operator dependent, TCD monitoring is not feasible in many institutions. Robotic assisted TCD (ra-TCD) was recently developed to overcome these constraints. The aim of this study was to evaluate the safety and feasibility of cerebral monitoring with a novel ra-TCD in acute neurovascular care.

METHODS:

This is a two-center prospective study conducted between August 2021 and February 2022 at Padua University Hospital (Padua, Italy) and Kepler University Hospital (Linz, Austria). Adult patients with conditions impacting cerebral hemodynamics or patients undergoing invasive procedures affecting cerebral hemodynamics were recruited for prolonged monitoring (> 30 min) of the middle cerebral artery with a novel ra-TCD (NovaGuide Intelligent Ultrasound, NeuraSignal, Los Angeles, CA). Manual TCD was also performed for comparison by an experienced operator. Feasibility and safety rates were recorded.

RESULTS:

A total of 92 patients (age mean 68.5 years, range 36-91; sex male 57 [62%]) were enrolled in the two centers 54 in Padua, 38 in Linz. The examination was feasible in the majority of patients (85.9%); the head cradle design and its radiopacity hindered its use during carotid endarterectomy and mechanical thrombectomy. Regarding safety, only one patient (1.1%) reported a minor local edema due to prolonged probe pressure. Velocity values were similar between ra-TCD and manual TCD.

CONCLUSIONS:

This novel ra-TCD showed an excellent safety and feasibility and proved to be as reliable as manual TCD in detecting blood flow velocities. These findings support its wider use for cerebral hemodynamics monitoring in acute neurovascular care. However, further technical improvements are needed to expand the range of applicable settings.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Neurocrit Care Asunto de la revista: NEUROLOGIA / TERAPIA INTENSIVA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Neurocrit Care Asunto de la revista: NEUROLOGIA / TERAPIA INTENSIVA Año: 2024 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Estados Unidos