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Research ArticleBRAIN

Postoperative Evaluation of Changes in Extracranial-Intracranial Bypass Graft Using Superficial Temporal Artery Duplex Ultrasonography

A. Nakamizo, T. Inoue, Y. Kikkawa, K. Uda, Y. Hirata, K. Okamura, M. Yasaka and Y. Okada
American Journal of Neuroradiology May 2009, 30 (5) 900-905; DOI: https://doi.org/10.3174/ajnr.A1468
A. Nakamizo
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T. Inoue
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Y. Kikkawa
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K. Uda
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Y. Hirata
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K. Okamura
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M. Yasaka
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Y. Okada
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    Fig 1.

    Postoperative changes in systolic (A), end-diastolic (B), and mean (C) STA flow velocity (FV), and diameter or STA (D). *P < .01, **P < .05, n.s. = not significant.

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    Fig 2.

    Postoperative changes in resting rCBF (left) and CVR (right). *P < .01, **P < .05.

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    Fig 3.

    Correlation between STDU parameters and SPECT parameters at 1 year after surgery. Mean STA flow velocity (mFV) and CVR (A), systolic STA flow velocity (sFV) and CVR (B), end-diastolic STA flow velocity (EDV) and CVR (C), and STA diameter and CVR (D).

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    Fig 4.

    Difference in diameter of STA (A), in systolic flow velocity (B), end-diastolic flow velocity (C), or mean flow velocity (D) between patients with low CVR (<10%; n = 8) and with high CVR (>10%; n = 37) at 1 year after surgery.

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    Table 1:

    Correlation between STDU parameters and CVR at different time point after surgery

    Period after Surgery14 Days3 Months1 Year
    STA mean FVr 2 = 0.02381r 2 = 0.01619r 2 = 0.08716
    P = .3115P = .4048P = .0464
    STA systolic FVr 2 = 0.02291r 2 = 0.01162r 2 = 0.06624
    P = .3210P = .4809P = .0842
    STA end-diastolic FVr 2 = 0.02077r 2 = 0.02983r 2 = 0.05528
    P = .1441P = .2566P = .1157
    STA diameterr 2 = 0.002902r 2 = 0.1101r 2 = 0.1232
    P = .7284P = .0278P = .0181
    • Note:— CVR indicates cerebrovascular reserve capacity; FV, flow velocity; STA, superficial temporal artery; STDU, superficial temporal artery duplex ultrasonography.

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    Table 2:

    Predictive values for cerebrovascular reserve capacity higher than 10% at different cutoff values of diameter of STA at 1 year after ECIC bypass surgery

    STA Diameter (mm)Sensitivity (%)Specificity (%)Positive Likelihood RatioPositive Predictive ValueNegative Predictive Value
    0.810012.51.1484.1100
    1.010012.51.1484.1100
    1.297.325.01.3085.766.7
    1.489.237.51.4386.842.9
    1.678.462.52.0990.638.5
    1.875.787.56.0696.643.8
    2.056.887.54.5495.530.4
    2.250.010010028.6
    2.429.710010023.5
    2.618.910010021.1
    2.88.110010019.5
    • Note:—ECIC indicates extracranial-intracranial bypass graft.

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American Journal of Neuroradiology: 30 (5)
American Journal of Neuroradiology
Vol. 30, Issue 5
May 2009
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Cite this article
A. Nakamizo, T. Inoue, Y. Kikkawa, K. Uda, Y. Hirata, K. Okamura, M. Yasaka, Y. Okada
Postoperative Evaluation of Changes in Extracranial-Intracranial Bypass Graft Using Superficial Temporal Artery Duplex Ultrasonography
American Journal of Neuroradiology May 2009, 30 (5) 900-905; DOI: 10.3174/ajnr.A1468

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Postoperative Evaluation of Changes in Extracranial-Intracranial Bypass Graft Using Superficial Temporal Artery Duplex Ultrasonography
A. Nakamizo, T. Inoue, Y. Kikkawa, K. Uda, Y. Hirata, K. Okamura, M. Yasaka, Y. Okada
American Journal of Neuroradiology May 2009, 30 (5) 900-905; DOI: 10.3174/ajnr.A1468
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