Doppler ultrasonographic evaluation of the radial and ulnar arteries in hemiparetic patients after stroke

Tiftik, Tülay; Kara, Murat; Özcan, Hatice Nursun; Türkkan, Canan; Ural, Fatma Gülçin; Ekiz, Timur; Akkuş, Selami; Özçakar, Levent

doi:10.1002/jcu.22127

Cited by 4 publications

(5 citation statements)

References 30 publications

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“…A systematic search resulted in 940 studies. After exclusions, 450 full-texts were screened resulting in 71 studies included in our meta-analysis with a total of 4886 patients 7 8 12–80. A PRISMA flowchart can be seen in online supplemental figure 1.…”

Section: Resultsmentioning

confidence: 99%

Radial artery diameter: a comprehensive systematic review of anatomy

Wahood

Ghozy

Al-Abdulghani

et al. 2022

J NeuroIntervent Surg

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AimsThe objective of this systematic review is to determine with the highest accuracy the average radial artery (RA) diameter overall and in certain subgroups. The aim of this study is to provide assistance in the development of fitting transradial devices, an increasingly popular intervention.MethodsSeveral databases were used to extract appropriate studies highlighting RA diameter. Databases used in the generation of this study were Ovid EBM Reviews, Ovid Embase, Ovid Medline, Scopus and Web of Science Core Collection. RA diameter was determined overall, in males versus females, adults only, adults+children, in the presence of comorbidities, and finally RA diameter in the context of various vasodilators.ResultsA total of 71 studies were included. The average RA diameter overall was determined to be 2.62±0.15 mm in children+adults and 2.70±0.15 mm in adults only. In comparison to an RA diameter of 2.68±0.24 mm in adult males, the diameter was found to be 2.27±0.27 mm in adult females (p=0.028). As for comorbidities, the mean RA diameter in adult patients with hypertension and congestive heart failure was 2.72±0.37 mm and 2.80±0.25 mm, respectively. Finally, the mean RA diameter with nitrate and angiotensin-converting enzyme (ACE) inhibitor use was 2.97±0.53 mm and 2.82±0.29 mm respectively. For comparison, the average outer diameter of a 5 French introducer sheath is 2.29 mm and a 6 French introducer sheath is 2.62 mm.ConclusionsThe findings presented in this study will help determine the most appropriate transradial device to use in several different populations in the context of vasodilator usage or the absence thereof.

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Section: Resultsmentioning

confidence: 99%

Radial artery diameter: a comprehensive systematic review of anatomy

Wahood

Ghozy

Al-Abdulghani

et al. 2022

J NeuroIntervent Surg

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“…As for the stroke patients, some studies suggested that the blood flow of stroke patients on the affected limbs was lower than on the unaffected side. Tiftik et al [ 33 ] showed that the radial and ulnar arteries of the affected side were significantly smaller in volume flow and end-diastolic velocity. Billinger et al [ 42 ] found that the blood flow was also reduced in the femoral artery of the affected body.…”

Section: Discussionmentioning

confidence: 99%

“…Blood flow is one of the most important objective indicators for motor recovery. Several studies have demonstrated that motor function is related to tissue perfusion or blood flow in stroke patients [ 32 , 33 ]. As a general evaluation tool, laser speckle contrast imaging (LSCI) technology is recognized as a useful tool to determine skin blood flow (SkBF).…”

Section: Introductionmentioning

confidence: 99%

The Facial Skin Blood Flow Change of Stroke Patients with Facial Paralysis after Peripheral Magnetic Stimulation: A Pilot Study

et al. 2022

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Background: Facial paralysis (FP) is a common symptom after stroke, which influences the quality of life and prognosis of patients. Recently, peripheral magnetic stimulation (PMS) shows potential effects on peripheral and central nervous system damage. However, the effect of PMS on FP after stroke is still unclear. Methods: In this study, we applied PMS on the facial nerve of nine stroke patients with FP. At the same time, laser speckle contrast imaging (LSCI) was used to explore the facial skin blood flow (SkBF) in 19 healthy subjects and nine stroke patients with FP before and after the PMS intervention. The whole face was divided into 14 regions to compare the SkBF in different sub-areas. Results: In baseline SkBF, we found that there were no significant differences in the SkBF between the left and right faces in the healthy subjects. However, there was a significant difference in the SkBF between the affected and unaffected faces in Region 7 (Chin area, p = 0.046). In the following five minutes after the PMS intervention (Pre_0–5 min), the SkBF increased in Region 5 (p = 0.014) and Region 7 (p = 0.046) and there was an increasing trend in Region 3 (p = 0.088) and Region 6 (p = 0.069). In the five to ten minutes after the intervention (Post_6–10 min), the SkBF increased in Region 5 (p = 0.009), Region 6 (p = 0.021) and Region 7 (p = 0.023) and there was an increasing trend in Region 3 (p = 0.080) and left and right whole face (p = 0.051). Conclusions: These pilot results indicate that PMS intervention could increase facial skin blood flow in stroke patients with FP. A further randomized controlled trial can be performed to explore its possible clinical efficacy.

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“…The blood flow velocities and waveforms in radial and ulnar arteries have been used to evaluate sympathetic skin response between healthy subjects and patients after stroke (Tiftik et al 2014).…”

Section: Introductionmentioning

confidence: 99%

“…The methods used for estimating the flow rate in these studies estimates the flow rate simply through the product of maximum velocity and blood vessel area (Ozcan et al 2011;Toprak et al 2011;Tiftik et al 2014). Further, no consideration in the literature has been given to evaluate the accuracy or reliability of these measurements.…”

Section: Introductionmentioning

confidence: 99%

Investigation of Ultrasound-Measured Flow Rate and Wall Shear Rate in Wrist Arteries Using Flow Phantoms

Zhou

Xia

Khan

et al. 2016

Ultrasound in Medicine & Biology

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Doppler ultrasonographic evaluation of the radial and ulnar arteries in hemiparetic patients after stroke

Abstract: Hand blood flow was lower on the paretic side and was accompanied by a similar decrease in SSR amplitudes in patients with right-sided hemiparesis.

Cited by 4 publications

References 30 publications

Radial artery diameter: a comprehensive systematic review of anatomy

Radial artery diameter: a comprehensive systematic review of anatomy

The Facial Skin Blood Flow Change of Stroke Patients with Facial Paralysis after Peripheral Magnetic Stimulation: A Pilot Study

Investigation of Ultrasound-Measured Flow Rate and Wall Shear Rate in Wrist Arteries Using Flow Phantoms

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