Document Detail


Vertebral artery hypoplasia is associated with a decrease in net vertebral flow volume.
MedLine Citation:
PMID:  19900752     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The definition and clinical significance of vertebral artery hypoplasia (VAH) remain inconclusive. VAH has been proposed as a predisposing factor of posterior circulation ischemic stroke. The aim of this study was to determine a best cut-off diameter of vertebral artery (VA) for VAH and to investigate if unilateral VAH is associated with a decrease in net vertebral flow volume. Retrospective data of 1000 presumably healthy subjects free of cerebrovascular disease or apparent carotid atherosclerosis were analysed. We found that a VA diameter </=2.5mm is an ideal value to define VAH. The flow volume of the identified hypoplastic VA was remarkably low and the contralateral VA had only a slightly increased compensatory flow volume. The net VA flow volumes remained significantly and markedly lower in subjects with unilateral VAH (140.7+/-46.2mL/min) than those in subjects without VAH (190.1+/-54.5mL/min, p<0.001). Flow volume insufficiency of VA (defined as a net VA flow volume less than 100mL/min) occurred more frequently in individuals with VAH than in those without VAH (22.1% vs. 2.4%, p<0.001). Our study suggested that asymptomatic subjects with VAH had a significantly lower net VA flow volume and a higher frequency of VA flow insufficiency than the control group. (E-mail: hhhu@vghtpe.gov.tw).
Authors:
Yen-Yu Chen; A-Ching Chao; Hung-Yi Hsu; Chih-Ping Chung; Han-Hwa Hu
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ultrasound in medicine & biology     Volume:  36     ISSN:  1879-291X     ISO Abbreviation:  Ultrasound Med Biol     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-17     Completed Date:  2010-03-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0410553     Medline TA:  Ultrasound Med Biol     Country:  England    
Other Details:
Languages:  eng     Pagination:  38-43     Citation Subset:  IM    
Affiliation:
Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Blood Flow Velocity
Blood Volume
Female
Humans
Male
Middle Aged
ROC Curve
Retrospective Studies
Ultrasonography, Doppler, Color
Vascular Resistance
Vertebral Artery / pathology*,  ultrasonography*
Vertebrobasilar Insufficiency / pathology*,  physiopathology,  ultrasonography
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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