Transcranial doppler pulsatility index: What it is and what it isn't

Neurocritical Care

Volumn 17, Issue 1, 2012, Pages 58-66

  De Riva, Nicolás ^a,b   Budohoski, Karol P ^a   Smielewski, Peter ^a   Kasprowicz, Magdalena ^a,c   Zweifel, Christian ^a,d   Steiner, Luzius A ^a,e   Reinhard, Matthias ^a,f   Fábregas, Neus ^b   Pickard, John D ^a   Czosnyka, Marek ^a,g  

^a UNIVERSITY OF CAMBRIDGE   (United Kingdom)

^b UNIVERSITY OF BARCELONA   (Spain)

^c WROCLAW UNIVERSITY OF TECHNOLOGY   (Poland)

^d UNIVERSITY HOSPITAL BASEL   (Switzerland)

^e LAUSANNE UNIVERSITY HOSPITAL   (Switzerland)

^f UNIVERSITY OF FREIBURG   (Germany)

^g WARSAW UNIVERSITY OF TECHNOLOGY   (Poland)

Author keywords

Cerebral hemodynamics; Plateau waves; Transcranial doppler; Traumatic brain injury

Indexed keywords

ADOLESCENT; ADULT; AGED; ARTERIAL PRESSURE; ARTICLE; BLOOD FLOW VELOCITY; BRAIN BLOOD FLOW; BRAIN BLOOD VESSEL; BRAIN PERFUSION; CONTROLLED STUDY; DOPPLER ECHOGRAPHY; FEMALE; HEAD INJURY; HEMODYNAMICS; HUMAN; HYPOCAPNIA; IMPEDANCE; INTRACRANIAL PRESSURE; MAJOR CLINICAL STUDY; MALE; MATHEMATICAL MODEL; MEDICAL PARAMETERS; PATIENT MONITORING; PERFUSION PRESSURE; PRIORITY JOURNAL; PULSATILITY INDEX; RECORDING; VASCULAR RESISTANCE;

ADOLESCENT; ADULT; AGED; BRAIN INJURIES; CEREBROVASCULAR CIRCULATION; COHORT STUDIES; DATABASES, FACTUAL; FEMALE; HUMANS; HYPOCAPNIA; INTRACRANIAL PRESSURE; MALE; MIDDLE AGED; MODELS, CARDIOVASCULAR; PULSATILE FLOW; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL; VASCULAR RESISTANCE; YOUNG ADULT;

EID: 84864277735     PISSN: 15416933     EISSN: 15560961     Source Type: Journal    
DOI: 10.1007/s12028-012-9672-6     Document Type: Article

References (25)

1. HA Kontos 1989 Validity of cerebral arterial blood flow calculations from velocity measurements Stroke 20 1 1 3 2911822 10.1161/01.STR.20.1.1 1:STN:280:DyaL1M7gtFWjug%3D%3D
2. RG Gosling DH King 1974 Arterial assessment by Doppler-shift ultrasound Proc R Soc Med 67 6 Pt 1 447 449 4850636 1:STN:280:DyaE2c3pvVCmsQ%3D%3D
3. J Bellner B Romner P Reinstrup KA Kristiansson E Ryding L Brandt 2004 Transcranial Doppler sonography pulsatility index (PI) reflects intracranial pressure (ICP) Surg Neurol 62 1 45 51 15226070 10.1016/j.surneu.2003.12.007
4. A Behrens N Lenfeldt K Ambarki J Malm A Eklund LO Koskinen 2010 Transcranial Doppler pulsatility index: not an accurate method to assess intracranial pressure Neurosurgery 66 6 1050 1057 20495421 10.1227/01.NEU. 0000369519.35932.F2
5. AA Figaji E Zwane AG Fieggen P Siesjo JC Peter 2009 Transcranial Doppler pulsatility index is not a reliable indicator of intracranial pressure in children with severe traumatic brain injury Surg Neurol 72 4 389 394 19608224 10.1016/j.surneu.2009.02.012
6. JR Melo F Di Rocco S Blanot, et al. 2011 Transcranial Doppler can predict intracranial hypertension in children with severe traumatic brain injuries Childs Nerv Syst 27 6 979 984 21207041 10.1007/s00381-010-1367-8
7. M Soehle DA Chatfield M Czosnyka PJ Kirkpatrick 2007 Predictive value of initial clinical status, intracranial pressure and transcranial Doppler pulsatility after subarachnoid haemorrhage Acta Neurochir (Wien) 149 6 575 583 10.1007/s00701-007-1149-6 1:STN:280:DC%2BD2szhs1Sksg%3D%3D
8. CA Giller K Hodges HH Batjer 1990 Transcranial Doppler pulsatility in vasodilation and stenosis J Neurosurg 72 6 901 906 2187059 10.3171/jns.1990.72. 6.0901 1:STN:280:DyaK3c3ltVCrsQ%3D%3D
9. MH Lim YI Cho SK Jeong 2009 Homocysteine and pulsatility index of cerebral arteries Stroke 40 10 3216 3220 19628800 10.1161/STROKEAHA.109.558403 1:CAS:528:DC%2BD1MXhtFGjsb7J
10. M Czosnyka HK Richards HE Whitehouse JD Pickard 1996 Relationship between transcranial Doppler-determined pulsatility index and cerebrovascular resistance: an experimental study J Neurosurg 84 1 79 84 8613840 10.3171/jns.1996.84.1.0079 1:STN:280:DyaK287htVyhtA%3D%3D
11. MJ Rosner DP Becker 1984 Origin and evolution of plateau waves. Experimental observations and a theoretical model J Neurosurg 60 2 312 324 6693959 10.3171/jns.1984.60.2.0312 1:STN:280:DyaL2c7htlyrsg%3D%3D
12. LA Steiner M Balestreri AJ Johnston, et al. 2004 Sustained moderate reductions in arterial CO2 after brain trauma time-course of cerebral blood flow velocity and intracranial pressure Intensive Care Med 30 12 2180 2187 15480563 10.1007/s00134-004-2463-6
13. HY Hsu CM Chern JS Kuo TB Kuo YT Chen HH Hu 2004 Correlations among critical closing pressure, pulsatility index and cerebrovascular resistance Ultrasound Med Biol 30 10 1329 1335 15582232 10.1016/j.ultrasmedbio.2004.08.006
14. DJ Kim M Kasprowicz E Carrera, et al. 2009 The monitoring of relative changes in compartmental compliances of brain Physiol Meas 30 7 647 659 19498218 10.1088/0967-3334/30/7/009 1:CAS:528:DC%2BD1MXlt1Orsrg%3D
15. M Czosnyka P Smielewski S Piechnik, et al. 1999 Hemodynamic characterization of intracranial pressure plateau waves in head-injury patients J Neurosurg 91 1 11 19 10389874 10.3171/jns.1999.91.1.0011 1:STN:280: DyaK1Mzhs1OgtA%3D%3D
16. A Helmy M Vizcaychipi AK Gupta 2007 Traumatic brain injury: intensive care management Br J Anaesth 99 1 32 42 17556349 10.1093/bja/aem139 1:STN:280:DC%2BD2szlslentg%3D%3D
17. N Lundberg 1960 Continuous recording and control of ventricular fluid pressure in neurosurgical practice Acta Psychiatr Scand Suppl 36 149 1 193 13764297 1:STN:280:DyaF3c%2FosValtQ%3D%3D
18. Brain Trauma F, American Association of Neurological Surgeon, Congress of Neurological Surgeons, et al. Guidelines for the management of severe traumatic brain injury. XIV. Hyperventilation. J Neurotrauma 2007; 24 Suppl 1:S87-S90.
19. ME Raichle JB Posner F Plum 1970 Cerebral blood flow during and after hyperventilation Arch Neurol 23 5 394 403 5471647 10.1001/archneur.1970. 00480290014002 1:STN:280:DyaE3M%2FgvF2gtA%3D%3D
20. M Czosnyka HK Richards M Reinhard, et al. 2012 Cerebrovascular time constant: dependence on cerebral perfusion pressure and end-tidal carbon dioxide concentration Neurol Res 34 1 17 24 22196857 10.1179/1743132811Y.0000000040
21. M Czosnyka S Piechnik HK Richards P Kirkpatrick P Smielewski JD Pickard 1997 Contribution of mathematical modelling to the interpretation of bedside tests of cerebrovascular autoregulation J Neurol Neurosurg Psychiatry 63 6 721 731 9416805 10.1136/jnnp.63.6.721 1:STN:280:DyaK1c%2FnslartQ%3D%3D
22. E Carrera LA Steiner G Castellani, et al. 2011 Changes in cerebral compartmental compliances during mild hypocapnia in patients with traumatic brain injury J Neurotrauma 28 6 889 896 21204704 10.1089/neu.2010.1377
23. N Alperin A Sivaramakrishnan T Lichtor 2005 Magnetic resonance imaging-based measurements of cerebrospinal fluid and blood flow as indicators of intracranial compliance in patients with Chiari malformation J Neurosurg 103 1 46 52 16121972 10.3171/jns.2005.103.1.0046
24. O Baledent L Fin L Khuoy, et al. 2006 Brain hydrodynamics study by phase-contrast magnetic resonance imaging and transcranial color doppler J Magn Reson Imaging 24 5 995 1004 17024656 10.1002/jmri.20722
25. E Michel B Zernikow 1998 Goslig's Doppler pulsatility index revisited Ultrasound Med Biol 24 4 597 599 9651969 10.1016/S0301-5629(98)00024-6 1:STN:280:DyaK1czhsFOrtw%3D%3D