Cerebral saturation reflects anterior cerebral artery flow parameters by Doppler ultrasound in the extremely premature newborn

Author(s):  
Gabriel Altit ◽  
Shazia Bhombal ◽  
Valerie Y. Chock
2008 ◽  
Vol 2008 ◽  
pp. 1-9 ◽  
Author(s):  
Thomas Rau ◽  
Xing He ◽  
Prem Venugopal ◽  
Fernando Viñuela ◽  
Gary Duckwiler ◽  
...  

Computational fluid dynamics techniques were used to investigate the hemodynamic effect of unequal anterior cerebral artery flow rates on the anterior cerebral and anterior communicating artery (ACA-ACOM) bifurcation. Hemodynamics have long been implicated as a major factor in cerebrovascular disease. Using an idealized 2D symmetric model of the ACA-ACOM geometry, the flow field and wall shear stress (WSS) at the bifurcation regions are assessed for pulsatile inflows with left to right flow ratios of 1:1, 2:1, 3:1, and 4:1. Unequal flow rates through the ACA parent arteries result in bifurcation of the higher flow parent stream and a shifting of the impingement points along the A2-ACOM adjoining wall toward the contralateral ACA. Cross-flow through the ACOM is generally unstable and results in increased WSS at the impingement region from the higher flow parent artery and a double amplitude peak in the WSS at the contralateral bifurcation region from local recirculation effects. These results suggest that asymmetry in ACA flow rates result in increased hemodynamic stresses at the ACA-ACOM bifurcation regions and suggest a possible factor for vessel weakening and aneurysm formation.


1979 ◽  
Vol 50 (5) ◽  
pp. 570-577 ◽  
Author(s):  
Helge Nornes ◽  
Arne Grip ◽  
Per Wikeby

✓ The use of a pulsed echo Doppler technique during procedures for occlusion of intracranial aneurysms is described. Saccular aneurysms can be located with reference to probe position and depth setting. Tracings of intra-aneurysmal flow are presented, and the characteristic flow pattern is discussed. Special emphasis has been placed on the parent artery flow, particularly the effect of lumen reduction on flow velocity. Results of flow velocity studies on the cognate (direct) and collateral flow in the middle cerebral artery and the proximal anterior cerebral artery are presented and discussed.


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