Spontaneous carotid dissection: Duplex scanning in diagnosis and management Todd F. Early, MD, Roger T. Gregory, MD, Jock R. Wheeler, MD, Stanley O. Snyder,

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Presentation transcript:

Spontaneous carotid dissection: Duplex scanning in diagnosis and management Todd F. Early, MD, Roger T. Gregory, MD, Jock R. Wheeler, MD, Stanley O. Snyder, MD, Robert G. Gayle, MD, F.Noel Parent, MD, Kathy Sorrell, RN Journal of Vascular Surgery Volume 14, Issue 3, Pages 391-397 (September 1991) DOI: 10.1016/0741-5214(91)90093-A Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 A, Longitudinal duplex scan of an occluded internal carotid artery. The intima (white line) is seen overlying the intramural thrombus. B, Schematic drawing demonstrates the dissection. Journal of Vascular Surgery 1991 14, 391-397DOI: (10.1016/0741-5214(91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Longitudinal color-flow scan (black and white copy) shows a tapered occlusion of the distal internal carotid artery. Journal of Vascular Surgery 1991 14, 391-397DOI: (10.1016/0741-5214(91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 3 Carotid angiogram demonstrates a tapered internal carotid artery occlusion. Journal of Vascular Surgery 1991 14, 391-397DOI: (10.1016/0741-5214(91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 4 B-mode duplex image of the common carotid artery demonstrates the dissected intima (arrow) and distal reentry point. Journal of Vascular Surgery 1991 14, 391-397DOI: (10.1016/0741-5214(91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 5 Color-flow duplex scan of a common carotid artery dissection. Left, Longitudinal view demonstrates different flow velocity in each lumen. Right, Transverse view demonstrates the common carotid artery (blue) dissection. Journal of Vascular Surgery 1991 14, 391-397DOI: (10.1016/0741-5214(91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 6 Digital subtraction angiogram demonstrates a right common carotid artery dual lumen dissection. Journal of Vascular Surgery 1991 14, 391-397DOI: (10.1016/0741-5214(91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions