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

1 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 (September 1991) DOI: / (91)90093-A Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

2 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  , DOI: ( / (91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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

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

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

6 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  , DOI: ( / (91)90093-A) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

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

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