Ultrasound assessment of brain supplying arteries (extracranial)

Klaus Gröschel; Judith U. Harrer; Ulf Schminke; Emilia Stegemann; Jens Allendörfer

doi:10.1055/a-2158-9629

Ultraschall in der Medizin - European Journal of Ultrasound, Inhaltsverzeichnis

Ultraschall Med 2024; 45(01): 14-35
DOI: 10.1055/a-2158-9629

Continuing Medical Education

Die Ultraschalluntersuchung der hirnversorgenden Arterien (extrakraniell)

Artikel in mehreren Sprachen: English | deutsch

Klaus Gröschel

¹Department of Neurology University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany

,

Judith U. Harrer

²Neurology, Privat Praxis Villa Pfahler, St. Ingbert, Germany

³Neurology, RWTH University Hospital, Aachen, Germany

,

Ulf Schminke

⁴Neurology, University Medicine, Greifswald, Germany

,

Emilia Stegemann

⁵Clinic for Cardiology and Angiology, University Hospital Giessen-Marburg, Marburg, Germany

⁶Clinic for Internal Medicine, Diabetology and Angiology, Agaplesion Diakonie Clinics, Kassel, Germany

,

Jens Allendörfer

⁷Neurology, Asklepios Neurologic Clinic Bad Salzhausen, Nidda, Germany

› Institutsangaben

Abstract

Zusammenfassung

Die Sonografie der hirnversorgenden Arterien ist eine nicht invasive und hoch effiziente Technik für die Beurteilung von Stenosen oder eines Gefäßverschlusses bei Patienten mit zerebrovaskulären Erkrankungen. Dieser Artikel fasst die Untersuchungstechnik für eine standardisierte Ultraschallbeurteilung der extrakraniellen Karotis und der A. vertebralis zusammen. Darüber hinaus werden die multiparametrischen Graduierungs-Kriterien für die Karotisstenosen (A. carotis interna) beschrieben und Empfehlungen für eine standardisierte Dokumentation der Befunde gegeben. Zudem werden Empfehlungen für die Messung der Intima-Media-Dicke und für die Klassifizierung atherosklerotischer Plaques mit B-Mode-Ultraschall genannt. Außerdem werden Kriterien für die Diagnostik von In-Stent-Stenosen, Vertebralisdissektionen und des Subclavian-Steal-Syndroms angegeben.

Volltext

Referenzen

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