Contrast-enhanced transcranial doppler versus contrast transthoracic echocardiography for right-to-left shunt diagnosis

J Clin Monit Comput. 2023 Oct;37(5):1145-1151. doi: 10.1007/s10877-023-00979-6. Epub 2023 Feb 18.

Abstract

RLS can be diagnosed using US, CT angiography, and right heart catheterization. However, most reliable diagnostic modality remains undetermined. c-TCD was more sensitive than c-TTE in the diagnosis of RLS. This was true especially for the detection of provoked shunts or mild shunts. c-TCD can be used as the preferred screening method for RLS.

Keywords: Contrast transthoracic echocardiography; Contrast-enhanced transcranial Doppler; Patent foramen ovale; Right-to-left shunt; Transesophageal echocardiography.

MeSH terms

  • Contrast Media
  • Echocardiography / methods
  • Echocardiography, Transesophageal*
  • Foramen Ovale, Patent* / diagnostic imaging
  • Humans
  • Ultrasonography, Doppler, Transcranial

Substances

  • Contrast Media