Hugh G. Beebe, MD, Sergio X. Salles-Cunha, PhD, Robert P

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Presentation transcript:

Carotid arterial ultrasound scan imaging: A direct approach to stenosis measurement Hugh G. Beebe, MD, Sergio X. Salles-Cunha, PhD, Robert P. Scissons, RVT, Steven M. Dosick, MD, Ralph C. Whalen, MD, Steven S. Gale, MD, John P. Pigott, MD, Andrew J. Seiwert, MD Journal of Vascular Surgery Volume 29, Issue 5, Pages 838-844 (May 1999) DOI: 10.1016/S0741-5214(99)70211-9 Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 1 Longitudinal ultrasound scan B-mode image of internal carotid artery with measurements of residual lumen and local arterial outer diameter at stenotic site. Journal of Vascular Surgery 1999 29, 838-844DOI: (10.1016/S0741-5214(99)70211-9) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 2 Arteriogram of carotid arteries with measurements of residual lumen and internal carotid artery diameter distal to bulb. Journal of Vascular Surgery 1999 29, 838-844DOI: (10.1016/S0741-5214(99)70211-9) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 3 Prevalence of internal carotid stenosis according to arteriographic clinical interpretation. Journal of Vascular Surgery 1999 29, 838-844DOI: (10.1016/S0741-5214(99)70211-9) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 4 Internal carotid artery stenosis. Raw data from 713 carotid bifurcations relating ultrasound scan imaging measurements of local stenosis to arteriographic clinical interpretation. Journal of Vascular Surgery 1999 29, 838-844DOI: (10.1016/S0741-5214(99)70211-9) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig 5 Power Doppler ultrasound scanning has higher sensitivity than color-flow Doppler scanning techniques, improving chances of detecting flow lumen distal to dense calcified plaque, and, therefore, of calculating percent diameter stenosis. Journal of Vascular Surgery 1999 29, 838-844DOI: (10.1016/S0741-5214(99)70211-9) Copyright © 1999 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions