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Vajda, Zsolt
Transcranial Doppler-determined pulsatility index in the evaluation of endoscopic third ventriculostomy (preliminary data)
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0001-6268
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1999
OBJECTIVE: Endoscopic 3rd ventriculostomy has become the method of choice in the
management of occlusive hydrocephalus. The treatment is accompanied by
significantly less peri-operative complications than the cerebrospinal fluid
shunting procedures previously employed. Close surveillance of patients, however,
is necessary to avoid the consequences of raised intracranial pressure that may
develop in case of obstruction of the artificial outlet of the 3rd ventricle. The
aim of this study was to confirm the value of transcranial Doppler-determined
pulsatility index (PI) in the assessment of the patency of endoscopic 3rd
ventriculostomy and to elucidate its usefulness in early postoperative
recognition of increased intracranial pressure. METHODS: In twenty-two patients
suffering from occlusive hydrocephalus, transcranial Doppler sonography (TCD) was
performed before, immediately after, and five days after endoscopic fenestration
of the floor of the 3rd ventricle. PI was defined with fast Fourier
transformation. Mean PI values were determined in both middle cerebral arteries
(MCA), over five cardiac cycles. RESULTS: In nineteen cases, PI values showed a
significant decrease immediately as well as five days after the intervention as
compared to the pre-operative values, and flow-sensitive MRI confirmed the
patency of the fenestration in all cases. In one patient the operation failed to
produce an effective diversion of cerebrospinal fluid as shown by flow-sensitive
MRI, and the pulsatility index was unchanged. In two patients, a significant
immediate postfenestration drop in PI was followed by a recurrence of PI to
pre-operative levels without any clinical deterioration. CONCLUSIONS: Preliminary
results suggest that the transcranial Doppler-determined pulsatility index is a
useful non-invasive tool for the evaluation of the patency of the fenestration in
the early follow-up of patients who underwent endoscopic third ventriculostomy.
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Idegsebészeti Klinika (PTE / ÁOK); Orvosi Népegészségtani Intézet (PTE / ÁOK)
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<div class="JournalArticle Publication short-list"> <div class="authors"> <span class="author-name" mtid="10012233"> <a href="/gui2/?type=authors&mode=browse&sel=10012233" target="_blank">Vajda, Zsolt</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10002667"> <a href="/gui2/?type=authors&mode=browse&sel=10002667" target="_blank">Büki, András</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10016648"> <a href="/gui2/?type=authors&mode=browse&sel=10016648" target="_blank">Vető, Ferenc</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10016485"> <a href="/gui2/?type=authors&mode=browse&sel=10016485" target="_blank">Horváth, Zsolt</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10012757"> <a href="/gui2/?type=authors&mode=browse&sel=10012757" target="_blank">Sándor, János</a> </span> <span class="author-type"> </span> ; <span class="author-name" mtid="10000419"> <a href="/gui2/?type=authors&mode=browse&sel=10000419" target="_blank">Dóczi, Tamás</a> </span> <span class="author-type"> </span> </div ><div class="title"><a href="/gui2/?mode=browse¶ms=publication;1033940" mtid="1033940" target="_blank">Transcranial Doppler-determined pulsatility index in the evaluation of endoscopic third ventriculostomy (preliminary data)</a></div> <div class="pub-info"> <span class="journal-title">ACTA NEUROCHIRURGICA</span> <span class="journal-volume">141</span> : <span class="journal-issue">3</span> <span class="page"> pp. 247-250. , 4 p. </span> <span class="year">(1999)</span> </div> <div class="pub-end"><div class="identifier-list"> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1007/s007010050294" target="_blank" href="https://doi.org/10.1007/s007010050294"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000079434700005" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000079434700005"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="2442762445" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-2442762445"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10214480" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10214480&dopt=Abstract"> PubMed </a> </span> </span> </div> <div class="short-pub-prop-list"> <span class="deleted-record">Zárolt</span> <span class="short-pub-mtid"> Közlemény:1033940 </span> <span class="status-holder"><span class="status-data status-VALIDATED"> Egyeztetett </span></span> <span class="pub-core">Forrás Idéző </span> <span class="pub-type">Folyóiratcikk (Szakcikk ) </span> <!-- && !record.category.scientific --> <span class="pub-category">Tudományos</span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 22</span> | Független: 22 | Függő: 0 | Nem jelölt: 0 | WoS jelölt: 15 | Scopus jelölt: 16 | WoS/Scopus jelölt: 17 | DOI jelölt: 17 </div> </div> </div> </div><div class="JournalArticle Publication long-list"> <div class="authors"> <img title="Forrásközlemény" style="float: left" src="/frontend/resources/grid/publication-core-icon.png"> <img title="Idézőközlemény" style="float: left" src="/frontend/resources/grid/publication-citation-icon.png"> <div class="autype autype0"> <span class="author-name" mtid="10012233"><a href="/gui2/?type=authors&mode=browse&sel=10012233" target="_blank">Vajda Zsolt (<span class="authorship-author-name">Vajda Zsolt</span> <span class="authorAux-mtmt"> Radiológia</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Idegsebészeti Klinika</span> ; <span class="author-name" mtid="10002667"><a href="/gui2/?type=authors&mode=browse&sel=10002667" target="_blank">Büki András (<span class="authorship-author-name">Büki András</span> <span class="authorAux-mtmt"> Idegsebészet, idegtudományok</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Idegsebészeti Klinika</span> ; <span class="author-name" mtid="10016648"><a href="/gui2/?type=authors&mode=browse&sel=10016648" target="_blank">Vető Ferenc (<span class="authorship-author-name">Vető Ferenc</span> <span class="authorAux-mtmt"> Idegsebészet</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Idegsebészeti Klinika</span> ; <span class="author-name" mtid="10016485"><a href="/gui2/?type=authors&mode=browse&sel=10016485" target="_blank">Horváth Zsolt (<span class="authorship-author-name">Horváth Zsolt</span> <span class="authorAux-mtmt"> Idegsebészet</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Idegsebészeti Klinika</span> ; <span class="author-name" mtid="10012757"><a href="/gui2/?type=authors&mode=browse&sel=10012757" target="_blank">Sándor János (<span class="authorship-author-name">Sándor János</span> <span class="authorAux-mtmt"> Népegészségtan</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Orvosi Népegészségtani Intézet</span> ; <span class="author-name" mtid="10000419"><a href="/gui2/?type=authors&mode=browse&sel=10000419" target="_blank">Dóczi Tamás (<span class="authorship-author-name">Dóczi Tamás Péter</span> <span class="authorAux-mtmt"> Idegsebészet</span>) </a> </span> <span class="author-affil"><span title="Pécsi Tudományegyetem">PTE</span>/<span title="Általános Orvostudományi Kar">ÁOK</span>/Idegsebészeti Klinika</span> </div> </div> <div class="title"><a href="/gui2/?mode=browse¶ms=publication;1033940" target="_blank">Transcranial Doppler-determined pulsatility index in the evaluation of endoscopic third ventriculostomy (preliminary data)</a></div> <div> <span class="journal-title">ACTA NEUROCHIRURGICA</span> <span class="journal-issn">(<a target="_blank" href="https://portal.issn.org/resource/ISSN/0001-6268">0001-6268</a> <a target="_blank" href="https://portal.issn.org/resource/ISSN/0942-0940">0942-0940</a>)</span>: <span class="journal-volume">141</span> <span class="journal-issue">3</span> <span class="page"> pp 247-250 </span> <span class="year">(1999)</span> </div> <div class="pub-footer"> <span class="language" xmlns="http://www.w3.org/1999/html">Nyelv: Angol | </span> <span class="identifiers"> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10.1007/s007010050294" target="_blank" href="https://doi.org/10.1007/s007010050294"> DOI </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="000079434700005" target="_blank" href="https://www.webofscience.com/wos/woscc/full-record/000079434700005"> WoS </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="2442762445" target="_blank" href="http://www.scopus.com/record/display.url?origin=inward&eid=2-s2.0-2442762445"> Scopus </a> </span> <span class="id identifier oa_none" title="none"> <a style="color:blue" title="10214480" target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10214480&dopt=Abstract"> PubMed </a> </span> </span> <div class="publication-citation" style="margin-left: 0.5cm;"> <span title="Nyilvános idézőközlemények összesen, említések nélkül" class="citingPub-count">Nyilvános idéző összesen: 22</span> | Független: 22 | Függő: 0 | Nem jelölt: 0 | WoS jelölt: 15 | Scopus jelölt: 16 | WoS/Scopus jelölt: 17 | DOI jelölt: 17 </div> <div class="publication-citation"> <a target="_blank" href="/api/publication?cond=citations.related;eq;1033940&sort=publishedYear,desc&sort=title"> Idézett közlemények száma: 2 </a> </div> <div class="mtid"><span class="long-pub-mtid">Közlemény: 1033940</span> | <span class="status-data status-VALIDATED"> Egyeztetett </span> <span class="oldId">Régi azonosító: 1033940</span> | Forrás Idéző | <span class="type-subtype">Folyóiratcikk ( Szakcikk ) </span> | <span class="pub-category">Tudományos</span> | <span class="publication-sourceOfData">WOS</span> </div> <div class="lastModified">Utolsó módosítás: 2019.09.12. 15:20 Milánkovics Róbert (PTE ÁOK admin 4) </div> <div class="lockedBy">Ideiglenesen zárolva 2020.06.08. 20:51 Farkas Andrea (admin) </div> </div></div>