Chirurgická problematika mozkové ischemie Flowmetrie v klinické praxi a experimentu

• Main Author: Dostál, Jiří
• Other Authors: Přibáň, Vladimír
• Format: Doctoral Thesis
• Language: Czech
• Published: 2019
• Online Access: http://www.nusl.cz/ntk/nusl-404844

Dissertation summary Surgical aspects of brain ischemia Flowmetry in a clinical practice and experiment MUDr. Jiří Dostál, Dpt. of Neurosurgery, Charles University, Faculty of Medicine Supervising Tutor: doc. MUDr. Vladimír Přibáň, Ph.D., Dpt. of Neurosurgery, Charles University, Faculty of Medicine The aim of this dissertation is to assess the options and benefits of a transit time flow measurement (TTF) in brain ischemia prevention in neurosurgery. Case reports from the Department of Neurosurgery, Charles University, Faculty of Medicine in Pilsen show the use and the limits of TTF. Presented case reports show the need of an individual approach in the case of a complex brain vessel surgery. A group of patients surgically treated for an unruptured middle cerebral artery aneurysm was analysed. Possible restriction of blood flow after the clip placement was quantitatively assessed by TTF in the first subgroup of patients. No quantitative flow measurement was performed in the second subgroup. There was no statistically significant difference between the two groups in terms of ischemia prevention. Some cases may entitle the surgeon to consider TTF use. TTF measurement is an invasive procedure and it demands a careful approach to the vessel and its preparation. The authors suggest to leave the use of the TTF to...