ArticleFrontiers in neurology2026
The role of contrast-enhanced transcranial color-coded real-time sonography combined with the common carotid artery compression test in preoperative evaluation of anterior communicating artery patency in patients with insufficient temporal bone windows.
Article in Frontiers in neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
Objective: The purpose of the study was to evaluate the anterior communicating artery (ACoA) patency in patients with suboptimal temporal bone windows who were scheduled for carotid endarterectomy (CEA), using contrast-enhanced transcranial color-coded real-time sonography (CE-TCCS) combined with common carotid artery compression (CCC) test. Method: A prospective analysis was conducted on 116 patients with suboptimal temporal bone windows who exhibited symptomatic carotid artery stenosis (sCAS). The display rates of intracranial circle of Willis (CoW) including anterior cerebral artery (ACA), middle cerebral artery, and posterior cerebral artery, were analyzed based on TCCS and CE-TCCS data. The functional patency of the ACoA was assessed by CE-TCCS with and without the CCC test, and the results were compared with the anatomical patency determined by CTA. Result: The visualization rates of CoW were significantly improved in CE-TCCS ( Conclusion: CE-TCCS significantly improve the display rate of intracranial CoW. CE-TCCS combined with the CCC test can serve as a reliable technique in preoperative evaluation of ACoA patency in patients with inadequate temporal bone windows.
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