Prediction of Symptomatic Vasospasm in Patients with Aneurysmal Subarachnoid Hemorrhage Using Early Transcranial Doppler

Abstract

Background—Symptomatic vasospasm (sVSP) is a common complication during the course of aneurys‐
mal subarachnoid hemorrhage (aSAH). We aimed to evaluate the efficacy and accuracy of transcranial
Doppler ultrasound (TCD), performed within the first 3 days of aSAH to predict the development of sVSP.
Methods—We performed a retrospective analysis of our institutional prospectively collected database of
patients with aSAH. Patients with aSAH and World Federation of Neurosurgical Societies (WFNS) grades
I–III were included in the analysis. A receiver operating characteristic (ROC) curve was generated to deter‐
mine cut-off values for mean flow velocities (MFVs) in the middle cerebral artery (MCA) and anterior cer‐
ebral artery (ACA) bilaterally to predict sVSP.
Results—Fifty-one patients were included in the study. Mean age was 49.8 ± 10.2 years, and 84.3% (43
patients) were women. The accuracy of measured MFVs to predict sVSP was 0.79 [95% confidence inter‐
val (CI), 0.69–0.89] and 0.77 (95% CI, 0.64–0.91) for the MCA and the ACA, respectively. In the MCA, an
MFV ≥ 74 cm/s was significantly associated with a six-fold increased risk of sVSP, achieving sensitivity
greater than 70%. In the ACA, an MFV ≥ 64 cm/s was significantly associated with a nine-fold increased
risk of sVSP.
Conclusion—Early TCD evaluation of MFVs in the MCA and ACA is a useful tool to predict the devel‐
opment of sVSP in patients with acute aSAH.