Assessment of intracranial collateral circulation using novel TCCS grading system in patients with symptomatic carotid occlusion

Faculty of Medicine

Assiut University

Assessment of intracranial collateral circulation using novel TCCS grading system in patients with symptomatic carotid occlusion

Research Authors
Foad Abd-Allah, Haytham Rizk, Mohammad Ahmed Farrag, Mohamed Hafez Shaaban and Ahmed Nasreldein.
Research Department
Department of Neurology and Psychiatry
Research Journal
Frontiers in Neurology 2020/July/ 11:666.
Research Member
Ahmed Nasreldein Mohamed Ali
Research Publisher
NULL
Research Rank
1
Research Vol
NULL
Research Website
NULL
Research Year
2020
Research_Pages
NULL
Research Abstract

Objectives: To establish a novel transcranial color-coded sonography (TCCS) grading system for collateral circulation in cases of symptomatic chronic total carotid occlusion (TCO), and to correlate this new grading system with cerebrovascular reserve capacity (CVR) measured by SPECT.

Methods: Thirty-four patients with symptomatic chronic TCO recruited from the neurovascular ultrasound laboratory of the department of Neurology at Cairo University Hospital during 3 years' time period and diagnosed by color-coded duplex were subjected to: clinical assessment, grading of cerebral collaterals using a proposed TCCS criteria, Brain SPECT studies at rest and with dipyridamole stress.

Results: The new grading system for cerebral collateral circulation showed a significant positive correlation with CVR (P < 0.001 and Spearman correlation coefficient 0.686).

Conclusion: The current study showed that this new TCCS grading system for cerebral collaterals is a reliable indicator for cerebral perfusion and reserve capacity in cases of chronic symptomatic TCO.