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NON-INVASIVE DIAGNOSIS OF ISCHEMIC BRAIN DAMAGE AFTER CARDIOPULMONARY RESUSCITATION IN DOGS BY USING TRANSCRANIAL DOPPLER ULTRASONOGRAPHY
Authors:Ushio  Fukushima  DVM   Shu  Sasaki  DVM   Shozo  Okano  DVM  PhD   Toshifumi  Oyamada  DVM  PhD   Takashi  Yoshikawa  DVM  PhD   Mitsuyoshi  Hagio  DVM  PhD   Katsuaki  Takase  DVM  PhD
Affiliation:Department of Small Animal Medicine, School of Veterinary Medicine and Animal Sciences, Kitasato University, Towada, Aomori, Japan.
Abstract:We have attempted to identify whether it is possible to utilize transcranial Doppler ultrasonography to evaluate the brain damage that occurs after resuscitation from 3 min (control group) and 12 min (damage group) of cardiac arrest in dogs. In this study we used transcranial Doppler ultrasonography to follow the basilar arterial flow and middle cerebral arterial flow for 180 min following the induction of cardiac arrests. Two abnormal waveform patterns (the "to-and-fro" and "diastolic no-flow" patterns) were found in all dogs in the damage group whereas abnormal waveforms were not detected in the control group. Pathological diagnosis revealed that, compared with the control group, the damage group recognized ischemic alteration at the level of the hippocampus and caudate nucleus. In conclusion, this study shows that the basilar arterial flow of observed with transcranial Doppler ultrasonography may be use for the prediction of outcome and the diagnosis of brain damage in the dog.
Keywords:brain damage    cardiopulmonary resuscitation    cerebral blood flow velocity    dog    transcranial Doppler ultrasonography
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