Review of transcranial Doppler ultrasound to detect microemboli during orthopedic surgery

Brendan S Silbert, Lisbeth A Evered, David A Scott, S Rahardja, Richard Patrick Gerraty, Peter FM Choong

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SUMMARY: Transcranial Doppler ultrasonography has been used to detect microemboli in the middle cerebral artery during orthopedic surgery. We conducted a comprehensive systematic literature review of transcranial Doppler ultrasonography in orthopedic surgery to evaluate its status in this setting. Fourteen studies were selected for qualitative analysis. The highest number of patients studied was 45; emboli were detected in all studies, occurring in 20 -100 of patients. Most embolic counts were below 10, but some high counts were noted. No study reported all the technical parameters of the transcranial Doppler ultrasonography. All studies assessed neurologic status, and 6 studies evaluated cognitive function postoperatively. No study identified an association between postoperative cognitive function and embolic count. Six studies sought the presence of right-to-left shunts.
Original languageEnglish
Pages (from-to)1858 - 1863
Number of pages6
JournalAmerican Journal of Neuroradiology
Issue number10
Publication statusPublished - 2014

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