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- W2030100980 abstract "To the Editor: Postert and colleagues1 reported their successful use of an echo-contrast agent in transcranial color-coded sonography (TCCS) to overcome the problem of inadequate acoustic bone windows (IABW) in patients with acute ischemic stroke affecting the middle cerebral artery territory. Their results were both convincing and impressive, and CT angiography (CTA) was used as a gold standard for comparison in a subgroup of patients. Adding a galactose-based echo-enhancing agent permitted an adequate sonographic examination of the middle cerebral artery in 74 of 90 stroke patients (82%) with proven IABW.1 Two features of contrast-enhanced TCCS (CE-TCCS) are noteworthy: completion of the examination of the major arteries around the circle of Willis within 10 minutes; and feasibility of repeated examinations. I wish to raise the following issues for clarification and discussions by the authors.First, some exclusion criteria were indicated in the article, but the number of patients excluded was not mentioned.1 Although I understand the rationale behind these exclusion criteria, I am interested in knowing how many patients were excluded because of galactosemia. More importantly, what adverse reactions may occur if 4 g of galactose-based microbubbles is inadvertently injected …" @default.
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- W2030100980 date "2000-08-01" @default.
- W2030100980 modified "2023-10-05" @default.
- W2030100980 title "Contrast-Enhanced Transcranial Color-Coded Sonography in Acute Cerebral Infarction" @default.
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- W2030100980 doi "https://doi.org/10.1161/01.str.31.8.2025" @default.
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