Transcranial doppler changes in children with sickle cell disease on transfusion therapy

Caterina P. Minniti, Vinod K. Gidvani, Dorothy Bulas, Wendy A. Brown, Gilbert Vezina, M. Catherine Driscoll

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Transcranial Doppler (TCD) is an effective method for screening patients with sickle cell disease (SCD) at risk for first stroke. Its usefulness in monitoring children with SCD receiving transfusions has not been established. The authors studied 17 children with SCD evaluated with TCDs and magnetic resonance angiograms (MRAs) while receiving transfusion therapy. Patients with normalized TCDs had normal MRAs that remained normal on transfusions. Patients with persistently abnormal TCDs had abnormal MRAs. In these children, TCD velocities decreased but rarely reverted to normal. Patients with low TCD velocities (<70 cm/s) had corresponding vasculopathy on MRA. Low velocities may be a risk factor for stroke and should be followed. Overall, there was good correlation between TCD velocity changes and MRA analysis.

Original languageEnglish (US)
Pages (from-to)626-630
Number of pages5
JournalJournal of Pediatric Hematology/Oncology
Volume26
Issue number10
DOIs
StatePublished - Oct 1 2004

Keywords

  • Magnetic resonance angiography
  • Sickle cell disease
  • Stroke
  • Transcranial Doppler
  • Transfusion

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Hematology
  • Oncology

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