Is there a role of near-infrared spectroscopy in predicting the outcome of patients with carotid artery occlusion?

2010 ◽  
Vol 292 (1-2) ◽  
pp. 36-39 ◽  
Author(s):  
Paola Palazzo ◽  
Francesco Tibuzzi ◽  
Patrizio Pasqualetti ◽  
Claudia Altamura ◽  
Mauro Silvestrini ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Carotid Artery ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion

scholarly journals Transcranial Doppler and Near-Infrared Spectroscopy Can Evaluate the Hemodynamic Effect of Carotid Artery Occlusion

Stroke ◽  
2004 ◽  
Vol 35 (1) ◽  
pp. 64-70 ◽  
Author(s):  
Fabrizio Vernieri ◽  
Francesco Tibuzzi ◽  
Patrizio Pasqualetti ◽  
Nicola Rosato ◽  
Francesco Passarelli ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Carotid Artery ◽  
Near Infrared Spectroscopy ◽  
Transcranial Doppler ◽  
Near Infrared ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Hemodynamic Effect

scholarly journals Limit of intraoperative near-infrared spectroscopy monitoring during endovascular thrombectomy in acute ischemic stroke

2017 ◽  
Vol 24 (1) ◽  
pp. 57-63 ◽  
Author(s):  
Ryo Hiramatsu ◽  
Motomasa Furuse ◽  
Ryokichi Yagi ◽  
Hiroyuki Ohnishi ◽  
Naokado Ikeda ◽  
...  
Keyword(s):  
Ischemic Stroke ◽  
Infrared Spectroscopy ◽  
Carotid Artery ◽  
Acute Ischemic Stroke ◽  
Near Infrared Spectroscopy ◽  
Cerebral Artery ◽  
Near Infrared ◽  
Artery Occlusion ◽  
Endovascular Thrombectomy ◽  
Mca Occlusion

Endovascular thrombectomy is recommended for a persistent ischemic penumbra if recanalization cannot be achieved by the intravenous (IV) administration of recombinant tissue-plasminogen activator (rt-PA) alone. Although endovascular thrombectomy is a powerful treatment for major cerebral artery occlusion, the monitoring of recanalization and reperfusion during acute ischemic stroke presents a therapeutic challenge, and a previous study reported the usefulness of near-infrared spectroscopy (NIRS) for intraoperative monitoring during emergency endovascular thrombectomy for acute large ischemic stroke. Here we present our experience with a relevant case series. We applied NIRS monitoring during endovascular thrombectomy in two patients with large ischemic stroke following carotid artery occlusion and one patient with a non-large ischemic stroke caused by a distal middle cerebral artery (MCA) occlusion. In the patients with large ischemic stroke, complete recanalization of the internal carotid artery was achieved, and NIRS revealed a very good regional oxygen saturation (rSO2) response. By contrast, in the patient with non-large ischemic stroke, the rSO2 did not change, despite complete recanalization of the distal MCA. Our findings suggest the limited usefulness of intraoperative NIRS monitoring during emergency endovascular thrombectomy for non-large acute ischemic stroke caused by a distal MCA occlusion. However, intraoperative NIRS monitoring could be used practically to detect recanalization of the major artery during thrombectomy and early IV rt-PA administration in cases involving major artery occlusion.

Near-infrared spectroscopy carotid plaque characteristics and cerebral embolism in carotid artery stenting

2021 ◽  
Vol 17 (7) ◽  
pp. 599-606
Author(s):  
Ichiro Nakagawa ◽  
Masashi Kotsugi ◽  
Hun Soo Park ◽  
Takanori Furuta ◽  
Fumiya Sato ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Carotid Artery ◽  
Near Infrared Spectroscopy ◽  
Carotid Artery Stenting ◽  
Carotid Plaque ◽  
Near Infrared ◽  
Cerebral Embolism

scholarly journals First-in-man near-infrared spectroscopy proof of lipid-core embolization during carotid artery stenting

2016 ◽  
Vol 4 ◽  
pp. 915-918 ◽  
Author(s):  
Martin Horvath ◽  
Petr Hajek ◽  
James E. Muller ◽  
Jakub Honek ◽  
Cyril Stechovsky ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Carotid Artery ◽  
Near Infrared Spectroscopy ◽  
Carotid Artery Stenting ◽  
Near Infrared ◽  
Lipid Core

Defining thresholds for critical ischemia by using near-infrared spectroscopy in the adult brain

1998 ◽  
Vol 89 (3) ◽  
pp. 389-394 ◽  
Author(s):  
Peter J. Kirkpatrick ◽  
Joseph Lam ◽  
Pippa Al-Rawi ◽  
Piotr Smielewski ◽  
Marek Czosnyka
Keyword(s):  
Infrared Spectroscopy ◽  
Cerebral Ischemia ◽  
Carotid Artery ◽  
Carotid Endarterectomy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Adult Brain ◽  
Content Type ◽  
Signal Changes ◽  
Fine Print

Object. Signal changes in adult extracranial tissues may have a profound effect on cerebral near-infrared spectroscopy (NIRS) measurements. During carotid surgery NIRS signals provide the opportunity to determine the relative contributions from the intra- and extracranial vascular territories, allowing for a more accurate quantification. In this study the authors applied multimodal monitoring methods to patients undergoing carotid endarterectomy and explored the hypothesis that NIRS can define thresholds for cerebral ischemia, provided extracranial NIRS signal changes are identified and removed. Relative criteria for intraoperative severe cerebral ischemia (SCI) were applied to 103 patients undergoing carotid endarterectomy. Methods. One hundred three patients underwent carotid endarterectomy. An intraoperative fall in transcranial Doppler—detected middle cerebral artery flow velocity (%ΔFV) of greater than 60% accompanied by a sustained fall in cortical electrical activity were adopted as criteria for SCI. Ipsilateral frontal NIRS recorded the total difference in concentrations of oxyhemoglobin and deoxyhemoglobin (Total ΔHbdiff). Interrupted time series analysis following clamping of the external carotid artery (ECA) and the internal carotid artery (ICA) allowed the different vascular components of Total ΔHbdiff (ECA ΔHbdiff and ICA ΔHbdiff) to be identified. Data obtained in 76 patients were deemed suitable. A good correlation between %ΔFV and ICA ΔHbdiff (r = 0.73, p < 0.0001) was evident. Sixteen patients (21%) fulfilled the criteria for SCI. All patients who demonstrated an ICA ΔHbdiff of greater than 6.8 µmol/L showed SCI, and in two patients within this group nondisabling watershed infarction developed, as seen on postoperative computerized tomography scans. No patient with an ICA ΔHbdiff less than 5 µmol/L exhibited SCI or suffered a stroke. Within the resolution of the criteria used an ICA ΔHbdiff threshold of 6.8 µmol/L provided 100% specificity for SCI, whereas an ICA ΔHbdiff less than 5 µmol/L was 100% sensitive for excluding SCI. When Total ΔHbdiff was used without removing the ECA component, no thresholds for SCI were apparent. Conclusions. Carotid endarterectomy provides a stable environment for exploring NIRS-quantified thresholds for SCI in the adult head.

scholarly journals New Directions in Exercise Prescription: Is There a Role for Brain-Derived Parameters Obtained by Functional Near-Infrared Spectroscopy?

2020 ◽  
Vol 10 (6) ◽  
pp. 342 ◽  
Author(s):  
Fabian Herold ◽  
Thomas Gronwald ◽  
Felix Scholkmann ◽  
Hamoon Zohdi ◽  
Dominik Wyser ◽  
...  
Keyword(s):  
Infrared Spectroscopy ◽  
Physical Exercise ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Exercise Prescription ◽  
Brain Activity ◽  
Brain Health ◽  
Functional Near Infrared Spectroscopy ◽  
Internal Load

In the literature, it is well established that regular physical exercise is a powerful strategy to promote brain health and to improve cognitive performance. However, exact knowledge about which exercise prescription would be optimal in the setting of exercise–cognition science is lacking. While there is a strong theoretical rationale for using indicators of internal load (e.g., heart rate) in exercise prescription, the most suitable parameters have yet to be determined. In this perspective article, we discuss the role of brain-derived parameters (e.g., brain activity) as valuable indicators of internal load which can be beneficial for individualizing the exercise prescription in exercise–cognition research. Therefore, we focus on the application of functional near-infrared spectroscopy (fNIRS), since this neuroimaging modality provides specific advantages, making it well suited for monitoring cortical hemodynamics as a proxy of brain activity during physical exercise.

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