Clinical Influence of Pocket-size Ultrasound Examinations of the Carotid Arteries and Heart in Patients Admitted With Stroke
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Ischemic Attack, Transient
- Sponsor
- Helse Nord-Trøndelag HF
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Proportion of patients without need for further diagnostic imaging
- Status
- Completed
- Last Updated
- 4 years ago
Overview
Brief Summary
Among patients admitted with cerebral ischemia (stroke and transitory ischemic attack (TIA)) it is important to reveal the underlying cause of the disease. In special it is important to reveal if carotid artery stenosis is present as such a finding will directly influence on treatment and follow-up.
For the diagnosis of carotid artery stenosis due to atherosclerosis ultrasound examinations is the cornerstone, but computer tomography and magnetic resonance imaging may be better in some cases. Development of high quality pocket-sized ultrasound scanners has allowed for semi quantitatively bed-side assessment of the carotid arteries and the heart.
The investigators aim to study the feasibility and reliability of bed-side assessment of the carotid arteries and the heart by pocket-sized ultrasound scanners and the clinical influence of this examination when performed by experienced users.
The investigators hypothesize that a significant proportion of this patient population can be clarified bed-side with no need of further imaging procedures for the assessment of the carotid arteries and the heart.
Detailed Description
Population: Approximately 100 patients admitted to the Department of Medicine, Levanger Hospital with history and findings suspicious of stroke/transitory ischemic attack (TIA). Informed consent mandatory. No exclusion criteria. Hypotheses: The carotid arteries and the heart can be assessed bed-side by pocket-size ultrasound scanners with high feasibility and reliability. Bed-side assessment of the carotid arteries and the heart by pocket-size ultrasound scanners may reduce the need for more advanced (higher cost) imaging procedures. Methods: Pocket-size imaging device from GE Ultrasound, commercial available. Approved for clinical use. High-end echocardiography and carotid Doppler ultrasound by high-end equipment (GE Vivid 9) and computer tomography and magnetic resonance imaging at the Department of Radiology, Levanger Hospital.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Admitted to the Department of Medicine with history and findings suspicious of (transient) cerebrovascular ischemia and willing and able to give their informed written consent
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Proportion of patients without need for further diagnostic imaging
Time Frame: The participants will be followed for the duration of hospital stay, an expected average of approximately 4 days
Proportion of patients which is not in need of further imaging procedures of the carotid arteries and the heart after bed-side diagnostic ultrasound by pocket-sized scanner
Secondary Outcomes
- Reliability of bed-side ultrasound examinations of the carotid arteries and the heart by pocket-sized scanners(The participants will be followed for the duration of hospital stay, an expected average of approximately 4 days)
- Feasibility of bed-side ultrasound examinations of the carotid arteries and the heart by pocket-sized scanners(The participants will be followed for the duration of hospital stay, an expected average of approximately 4 days)