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Abstract #1352

Cerebral Blood Flow Pulsatility Predicts the Cerebral Hyperperfusion Syndrome after direct revascularization surgery—A pilot study

Luo mingfang1, Wang Yuting1, Wang Zhenyu2, Hu Xiao2, Wang Yishuang1, and He Bo1
1Radiology, Sichuan Provincial People's Hospital, Chengdu, China, 2Neurosurgery, Sichuan Provincial People's Hospital, Chengdu, China

Synopsis

Keywords: Blood Vessels, Blood vessels, 4D flow, cerebral hyperperfusion syndrome

Motivation: Little is known about cerebral hemodynamics after bypass surgery in patients with chronic arterial stenosis (CAS) and its role in the development of cerebral hyperperfusion syndrome (CHS).

Goal(s): The purpose of this study was to explore the hemodynamic characteristics of patients with CAS and occlusion before and after surgery and its relationship with CHS.

Approach: We used 4D flow MRI sequence to obtain the hemodynamic characteristics of patients with CAS and occlusion before and after bypass surgery.

Results: Postoperative total cerebral blood flow increased and resistance index and pulsatility index decreased maybe a higher risk factor of CHS events in bypass surgery patients.

Impact: This study provides a new insight into the hemodynamic characteristics of patients with chronic arterial stenosis, and holds a promising marker for marker for identifying CHS patients.

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