Feasibility and reliability of on-line automated microemboli detection after carotid endarterectomy. A transcranial Doppler study

European Journal of Vascular and Endovascular Surgery

Volumn 25, Issue 3, 2003, Pages 262-266

  Munts, A G ^a   Mess, W H ^c   Bruggemans, E F ^d   Walda, L ^c   Ackerstaff, R G A ^b  

^a Sittard Geleen Heerlen   (Netherlands)

^b ST ANTONIUS HOSPITAL   (Netherlands)

^c MAASTRICHT UNIVERSITY MEDICAL CENTER   (Netherlands)

^d LEIDEN UNIVERSITY MEDICAL CENTER   (Netherlands)

Author keywords

Automated emboli detection; Cerebral embolism; Interobserver agreement; Ultrasonography

Indexed keywords

ANTITHROMBOCYTIC AGENT;

ALGORITHM; ANALYTIC METHOD; ARTICLE; AUTOMATION; CAROTID ENDARTERECTOMY; CLINICAL ARTICLE; COMPUTER PROGRAM; CONTROLLED STUDY; DIAGNOSTIC ACCURACY; DIAGNOSTIC VALUE; DOPPLER ECHOGRAPHY; FEASIBILITY STUDY; HUMAN; LABORATORY DIAGNOSIS; MICROEMBOLISM; MONITORING; PRIORITY JOURNAL; RELIABILITY; STROKE; BRAIN EMBOLISM; CAROTID ARTERY OBSTRUCTION; ECHOGRAPHY; EVALUATION; METHODOLOGY; OBSERVER VARIATION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATION; REPRODUCIBILITY; RISK; SENSITIVITY AND SPECIFICITY;

ALGORITHMS; AUTOMATION; CAROTID STENOSIS; ENDARTERECTOMY, CAROTID; FEASIBILITY STUDIES; HUMANS; INTRACRANIAL EMBOLISM; OBSERVER VARIATION; POSTOPERATIVE CARE; POSTOPERATIVE COMPLICATIONS; REPRODUCIBILITY OF RESULTS; RISK; SENSITIVITY AND SPECIFICITY; SOFTWARE VALIDATION; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 0037365894     PISSN: 10785884     EISSN: None     Source Type: Journal    
DOI: 10.1053/ejvs.2002.1805     Document Type: Article

References (14)

1. JANSEN C, ACKERSTAFF RGA. Microembolism and hemodynamic changes in the brain during carotid endarterectomy. Stroke 1994; 25: 2504-2505.
2. ACKERSTAFF RGA, MOONS KGM, VLASAKKER CJWVD, MOLL FL, VERMEULEN FEE, ALGRA A et al. Association of intraoperative transcranial Doppler monitoring variables with stroke from carotid endarterectomy. Stroke 2000; 31: 1817-1823.
3. CANTELMO NL, BABIKIAN VL, SAMARAWEERA RN, GORDON JK, POCHAY VE, WINTER MR. Cerebral microembolism and ischemic changes associated with carotid endarterectomy. J Vasc Surg 1998; 27: 1024-1031.
4. MARKUS H, CULLINANE M, REID G. Improved automated detection of embolic signals using a novel frequency filtering approach. Stroke 1999; 30: 1610-1615.
5. CULLINANE M, REID G, DITTRICH R, KAPOSZTA Z, ACKERSTAFF R, BABIKIAN V et al. Evaluation of new online automated embolic signal detection algorithm, including comparison with panel of international experts. Stroke 2000; 31: 1335-1341.
6. RINGELSTEIN EB, DROSTE DW, BABIKIAN VL, EVANS DH, GROSSET DG, KAPS M et al. Consensus on Microembolism Detection by TCD. International Consensus Group on Microembolus Detection. Stroke 1998; 29: 725-729.
7. ZUILEN EVV, MESS WH, JANSEN C, TWEEL IVD, GIJN JV, ACKERSTAFF RGA. Automatic embolus detection compared with human experts. A Doppler ultrasound study Stroke 1996; 27: 1840-1843.
8. ACKERSTAFF RGA, MESS WH, ZUILEN EVV, TWEEL IVD. Reliability in the identification of Doppler embolic transient signals: A statistical problem? Stroke 1997; 28: 876.
9. MARKUS HS, ACKERSTAFF R, BABIKIAN V, BLADIN C, DROSTE D, GROSSET D et al. Intercenter agreement in reading Doppler embolic signals. A multicenter international study. Stroke 1997; 28: 1307-1310.
10. BORST GJD, MOLL FL, PAVOORDT HDWMVD, MAUSER HW, KELDER JC, ACKERSTAFF RGA. Stroke from carotid endarterectomy: when and how to reduce perioperative stroke rate? Eur J Vasc Endovasc Surg 2001; 21: 484-489.
11. LEVI CR, O'MALLEY HMO, FELL G, ROBERTS AK, HOARE MC, ROYLE JP et al. Transcranial Doppler detected cerebral microembolism following carotid endarterectomy. High microembolic signal loads predict postoperative cerebral ischaemia. Brain 1997; 120: 621-629.
12. LENNARD N, SMITH J, DUMVILLE J, ABBOTT R, EVANS DH, LONDON NJM et al. Prevention of postoperative thrombotic stroke after carotid endarterectomy: The role of transcranial Doppler ultrasound. J Vasc Surg 1997; 26: 579-584.
13. KAPOSZTA Z, BASKERVILLE PA, MADGE D, FRASER S, MARTIN JF, MARKUS H. L-Arginine and S-nitrosoglutathione reduce embolization in humans. Circulation 2001; 103: 2371-2375.
14. LEVI CR, STORK JL, CHAMBERS BR, ABBOTT AL, CAMERON HM, PEETERs A et al. Dextran reduces embolic signals after carotid endarterectomy. Ann Neurol 2001; 50: 544-547.