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Ultrasonic duplex scanning for disease of the carotid artery.
Abstract
The duplex ultrasonic scanner combines real-time B-mode imaging with a single-gate, variable-range pulsed Doppler. The detection and categorization of the severity of carotid artery atherosclerosis is achieved by performing spectral analysis of the pulsed Doppler velocity signal obtained from vessels of interest. Using this technique, 750 patients with suspected extracranial carotid artery disease were evaluated between January 1978 and January 1980. One hundred thirty-five of these 750 patients (18%) underwent cerebral arteriography performed with biplanar views of the carotid bifurcation. The degree of stenosis was measured independently in these patients and was available for comparison with the results of duplex scanning and spectral analysis. Duplex scanning correctly detected the presence of disease in 252 of 259 carotid arteries studied (97%). The extent of involvement varied from plaques that produced less than 10% diameter reduction to those that resulted in a total occlusion. The technique was less accurate with lesions that produced less than 10% diameter reduction.
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Cited by
Association Between Arterial Stiffness and Atherosclerosis: The Rotterdam Study
van Popele, N. M., Grobbee, D. E., Bots, M. L., Asmar, R., Topouchian, J., Reneman, R. S., Hoeks, A. P. G., van der Kuip, D. A. M., Hofman, A., & Witteman, J. C. M. (2001) · Stroke · doi:10.1161/01.str.32.2.454 · Cited by 1,142
Carotid plaque histology using real-time ultrasonography
Reilly, L. M., Lusby, R. J., Hughes, L., Ferrell, L. D., Stoney, R. J., & Ehrenfeld, W. K. (1983) · The American Journal of Surgery · doi:10.1016/0002-9610(83)90370-7 · Cited by 345
Duplex ultrasound measurement of postprandial intestinal blood flow: Effect of meal composition
Moneta, G. L., Taylor, D. C., Helton, W. S., Mulholland, M. W., & Strandness, D. E. (1988) · Gastroenterology · doi:10.1016/0016-5085(88)90364-2 · Cited by 277
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Metadata
- Authors
- Fell, G., Phillips, D. J., Chikos, P. M., Harley, J. D., Thiele, B. L., & Strandness, D. E.
- Venue
- Circulation
- Published
- 1981-12
- Volume
- 64
- Issue
- 6
- Pages
- 1191-1195
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W2017337288
- Cited by
- 220
- References
- 0
- FWCI
- 22.16
- Type
- journal article
- Language
- en
- Open access
- closed
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- Fell, G., Phillips, D. J., Chikos, P. M., Harley, J. D., Thiele, B. L., & Strandness, D. E. (1981). Ultrasonic duplex scanning for disease of the carotid artery. Circulation. https://doi.org/10.1161/01.cir.64.6.1191
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