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The Hemodynamic Response of the Cerebral Bridging Veins to Changes in ICP

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单位: [1]Shandong Univ, Shandong Prov Hosp, Dept Neurosurg, Jinan 250021, Peoples R China [2]China Japan Friendship Hosp, Dept Neurosurg, Beijing 100029, Peoples R China [3]Shandong Univ, Shandong Med Imaging Res Inst, Jinan 250021, Peoples R China
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关键词: Cerebral bridging veins Hemodynamics ICP

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Background To investigate the hemodynamic response of the cerebral bridging veins to increased intracranial pressure (ICP) during normo- and hyperventilation. Methods Flow velocity (FVm), diameter (D), and pulsatility index (PI) were measured and calculated in the cerebral bridging veins using Color Doppler Ultrasound in seven pigs, and cerebral blood flow (CBF) was measured using Xe-133 clearance in nine pigs, both during normo- and hyperventilation. ICP was increased stepwise from baseline (about 10 mmHg) to 20 and 30 mmHg by infusion of mock CSF into the cisterna magna. Results Moderate elevations of ICP caused venous relative stasis as evidenced by a decrease in FVm and increase in diameter and PI, but no change of volume flow in the veins. CBF was stable indicating autoregulation at ICP of 20 and 30 mmHg. Parallel observations were made during normo- and hyperventilation, but at two different levels of CBF. Conclusions The cerebral bridging veins dilation and blood flow velocity decrease indicate the venous relative stasis in response to the elevated ICP. This response is proposed to be caused by an ICP-dependent increase in resistance to the outflow from the cerebral bridging veins.

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出版当年[2009]版:
大类 | 4 区 医学
小类 | 4 区 临床神经病学 4 区 危重病医学
最新[2025]版:
大类 | 2 区 医学
小类 | 3 区 临床神经病学 3 区 危重病医学
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出版当年[2008]版:
Q3 CLINICAL NEUROLOGY Q4 CRITICAL CARE MEDICINE
最新[2023]版:
Q2 CLINICAL NEUROLOGY Q2 CRITICAL CARE MEDICINE

影响因子: 最新[2023版] 最新五年平均[2021-2025] 出版当年[2008版] 出版当年五年平均[2004-2008] 出版前一年[2007版] 出版后一年[2009版]

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第一作者单位: [2]China Japan Friendship Hosp, Dept Neurosurg, Beijing 100029, Peoples R China
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通讯机构: [1]Shandong Univ, Shandong Prov Hosp, Dept Neurosurg, Jinan 250021, Peoples R China [*1]Shandong Univ, Shandong Prov Hosp, Dept Neurosurg, 324 Jingwuweiqi St, Jinan 250021, Peoples R China
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