Non-Invasive Tools in Perioperative Stroke Risk Assessment for Asymptomatic Carotid Artery Stenosis with a Focus on the Circle of Willis Article Swipe
Balázs Lengyel
,
Rita Magyar-Stang
,
Hanga Pál
,
Róbert Debreczeni
,
Ágnes Dóra Sándor
,
Andrea Székely
,
Dániel Gyürki
,
Benjámin Csippa
,
Lilla István
,
Illés Kovács
,
Péter Sótonyi
,
Zsuzsanna Mihály
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13092487
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/jcm13092487
This review aims to explore advancements in perioperative ischemic stroke risk estimation for asymptomatic patients with significant carotid artery stenosis, focusing on Circle of Willis (CoW) morphology based on the CTA or MR diagnostic imaging in the current preoperative diagnostic algorithm. Functional transcranial Doppler (fTCD), near-infrared spectroscopy (NIRS), and optical coherence tomography angiography (OCTA) are discussed in the context of evaluating cerebrovascular reserve capacity and collateral vascular systems, particularly the CoW. These non-invasive diagnostic tools provide additional valuable insights into the cerebral perfusion status. They support biomedical modeling as the gold standard for the prediction of the potential impact of carotid artery stenosis on the hemodynamic changes of cerebral perfusion. Intraoperative risk assessment strategies, including selective shunting, are explored with a focus on CoW variations and their implications for perioperative ischemic stroke and cognitive function decline. By synthesizing these insights, this review underscores the potential of non-invasive diagnostic methods to support clinical decision making and improve asymptomatic patient outcomes by reducing the risk of perioperative ischemic neurological events and preventing further cognitive decline.
Related Topics
Concepts
Medicine
Circle of Willis
Perioperative
Asymptomatic
Transcranial Doppler
Stenosis
Stroke (engine)
Radiology
Cerebral perfusion pressure
Cardiology
Carotid endarterectomy
Internal carotid artery
Internal medicine
Context (archaeology)
Perfusion
Paleontology
Biology
Mechanical engineering
Engineering
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/jcm13092487
- https://www.mdpi.com/2077-0383/13/9/2487/pdf?version=1713950516
- OA Status
- gold
- Cited By
- 5
- References
- 163
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4395072986
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4395072986Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/jcm13092487Digital Object Identifier
- Title
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Non-Invasive Tools in Perioperative Stroke Risk Assessment for Asymptomatic Carotid Artery Stenosis with a Focus on the Circle of WillisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-04-24Full publication date if available
- Authors
-
Balázs Lengyel, Rita Magyar-Stang, Hanga Pál, Róbert Debreczeni, Ágnes Dóra Sándor, Andrea Székely, Dániel Gyürki, Benjámin Csippa, Lilla István, Illés Kovács, Péter Sótonyi, Zsuzsanna MihályList of authors in order
- Landing page
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https://doi.org/10.3390/jcm13092487Publisher landing page
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https://www.mdpi.com/2077-0383/13/9/2487/pdf?version=1713950516Direct link to full text PDF
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
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https://www.mdpi.com/2077-0383/13/9/2487/pdf?version=1713950516Direct OA link when available
- Concepts
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Medicine, Circle of Willis, Perioperative, Asymptomatic, Transcranial Doppler, Stenosis, Stroke (engine), Radiology, Cerebral perfusion pressure, Cardiology, Carotid endarterectomy, Internal carotid artery, Internal medicine, Context (archaeology), Perfusion, Paleontology, Biology, Mechanical engineering, EngineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
5Total citation count in OpenAlex
- Citations by year (recent)
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2025: 4, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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163Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.standard | 91 |
| abstract_inverted_index.stenosis | 102 |
| abstract_inverted_index.systems, | 67 |
| abstract_inverted_index.valuable | 77 |
| abstract_inverted_index.vascular | 66 |
| abstract_inverted_index.cognitive | 133, 171 |
| abstract_inverted_index.coherence | 50 |
| abstract_inverted_index.discussed | 55 |
| abstract_inverted_index.including | 114 |
| abstract_inverted_index.insights, | 139 |
| abstract_inverted_index.perfusion | 82 |
| abstract_inverted_index.potential | 97, 144 |
| abstract_inverted_index.selective | 115 |
| abstract_inverted_index.shunting, | 116 |
| abstract_inverted_index.stenosis, | 19 |
| abstract_inverted_index.Functional | 41 |
| abstract_inverted_index.additional | 76 |
| abstract_inverted_index.algorithm. | 40 |
| abstract_inverted_index.assessment | 112 |
| abstract_inverted_index.biomedical | 86 |
| abstract_inverted_index.collateral | 65 |
| abstract_inverted_index.diagnostic | 33, 39, 73, 147 |
| abstract_inverted_index.estimation | 11 |
| abstract_inverted_index.evaluating | 60 |
| abstract_inverted_index.morphology | 26 |
| abstract_inverted_index.perfusion. | 109 |
| abstract_inverted_index.prediction | 94 |
| abstract_inverted_index.preventing | 169 |
| abstract_inverted_index.tomography | 51 |
| abstract_inverted_index.variations | 124 |
| abstract_inverted_index.angiography | 52 |
| abstract_inverted_index.hemodynamic | 105 |
| abstract_inverted_index.significant | 16 |
| abstract_inverted_index.strategies, | 113 |
| abstract_inverted_index.underscores | 142 |
| abstract_inverted_index.advancements | 5 |
| abstract_inverted_index.asymptomatic | 13, 156 |
| abstract_inverted_index.implications | 127 |
| abstract_inverted_index.neurological | 166 |
| abstract_inverted_index.non-invasive | 72, 146 |
| abstract_inverted_index.particularly | 68 |
| abstract_inverted_index.preoperative | 38 |
| abstract_inverted_index.spectroscopy | 46 |
| abstract_inverted_index.synthesizing | 137 |
| abstract_inverted_index.transcranial | 42 |
| abstract_inverted_index.near-infrared | 45 |
| abstract_inverted_index.perioperative | 7, 129, 164 |
| abstract_inverted_index.Intraoperative | 110 |
| abstract_inverted_index.cerebrovascular | 61 |
| cited_by_percentile_year.max | 98 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5009934649 |
| countries_distinct_count | 2 |
| institutions_distinct_count | 12 |
| corresponding_institution_ids | https://openalex.org/I101202996 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/16 |
| sustainable_development_goals[0].score | 0.6299999952316284 |
| sustainable_development_goals[0].display_name | Peace, Justice and strong institutions |
| citation_normalized_percentile.value | 0.90429895 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |