Publications by authors named "U Schminke"

Article Synopsis
  • Ultrasonography is a non-invasive method used to efficiently evaluate stenosis or occlusions in the brain-supplying arteries in patients with cerebrovascular diseases.
  • The article outlines standardized techniques for assessing extracranial carotid and vertebral arteries, including grading criteria for internal carotid artery stenosis and recommendations for documenting findings.
  • Additionally, it includes guidelines for measuring intima-media thickness, classifying atherosclerotic plaques, and diagnosing conditions like in-stent stenoses, vertebral artery dissections, and subclavian steal syndrome.
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Ultrasonography of intracranial arteries is a non-invasive and highly efficient method for the diagnosis and follow-up of patients with cerebrovascular diseases, also in the bedside setting of the critically ill. For reliable assessment and interpretation of sonographic findings, the technique requires - apart from dedicated anatomic and pathophysiological knowledge of cerebral arteries and their hemodynamics - the comprehension of alternative imaging modalities such as CT or MR angiography. This article reviews the transcranial color-coded duplex sonographic (TCCS) examination technique including the transcranial Doppler sonography (TCD) for a standardized ultrasound assessment of the intracranial arteries and typical pathological cases.

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Background: Chronic kidney disease (CKD) leads to increased morbidity and mortality. The underlying causes of CKD are often similar to those of atherosclerosis. We investigated whether carotid atherosclerotic parameters are associated with renal function decline.

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Article Synopsis
  • The study investigates long-term outcomes for young patients (ages 18-55) who experienced ischemic stroke or transient ischemic attack, focusing on recurrent vascular events and mortality rates over time.
  • A total of 396 patients were followed for an average of 11.8 years, revealing that 22.5% experienced recurrent vascular events and 6.8% died during the follow-up period.
  • Key findings included the association of atrial fibrillation with higher risk of recurrent events, highlighting the need for improved individual risk assessment and preventive strategies to reduce future occurrences.
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