Hostname: page-component-78c5997874-lj6df Total loading time: 0 Render date: 2024-11-13T01:43:53.153Z Has data issue: false hasContentIssue false
  • English
  • Français

The Value of Carotid Doppler Ultrasound in Asymptomatic Extracranial Arterial Disease

Published online by Cambridge University Press:  18 September 2015

Natan M. Bornstein ,
Lorraine G. Chadwick  and
John W. Norris
Natan M. Bornstein
Affiliation:
Stroke Research Unit and Carotid Doppler Laboratory, Department of Neurosciences, Sunnybrook Medical Centre, University of Toronto, Toronto
Lorraine G. Chadwick
Affiliation:
Stroke Research Unit and Carotid Doppler Laboratory, Department of Neurosciences, Sunnybrook Medical Centre, University of Toronto, Toronto
John W. Norris*
Affiliation:
Stroke Research Unit and Carotid Doppler Laboratory, Department of Neurosciences, Sunnybrook Medical Centre, University of Toronto, Toronto
*
Stroke Research Unit, Sunnybrook Medical Centre, 2075 Bayview Avenue, Toronto, Ontario, Canada M4N 3M5
Rights & Permissions [Opens in a new window]

Abstract:

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

Carotid Doppler is an accurate, safe and repeatable method of assessing arterial calibre, for distinguishing harmless neck bruits and to identify the stroke prone individual. It is completely non-invasive and can be used serially to monitor progression in carotid stenosis. It is a valuable clinical tool in diagnosis and management in patients at risk of stroke, but has definite limitations, such as in differentiating carotid occlusion from severe stenosis. B-mode imaging, although valuable in identifying arterial anatomy, and detecting plaques, cannot accurately evaluate the degree of stenosis. It is of limited value in identifying plaque hemorrhage and ulceration. Doppler ultrasound technology has advanced rapidly in the last decade, especially in the combination of B-mode imaging and Doppler (Duplex), as well as in evaluating of the intracranial circulation (transcranial Doppler). In the next decade, it may become the new gold standard for evaluating the extracranial and intracranial circulation.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 15 , Issue 4 , November 1988 , pp. 378 - 383
Copyright
Copyright © Canadian Neurological Sciences Federation 1988

References

REFERENCES

1.Dion, JE, Gates, PCFox, AJ, et al. Clinical events following neuroangiography: A prospective study. Stroke 1987; 18: 997–1004.CrossRefGoogle ScholarPubMed
2.Kurtzke, JF. Epidemiology of cerebrovascular disease. Cerebrovascular Survey Report (N1NCDS) 1985; 1–34.Google Scholar
3.Fry, DL. Acute vascular endothelial changes associated with increased blood velocity gradients. Circ Res 1968; 22: 165–197.CrossRefGoogle ScholarPubMed
4.Moniz, E. L’encephalographie arterielle son importance dans la localisation des tumeurs cerebrales. Rev Neurol 1927; 2: 72.Google Scholar
5.Mani, R, Eisenberg, R, McDonald, E, et al. Complications of catheter cerebral angiography: Analysis of 5000 procedures. 2. Relations of complication rates to clinical and arteriographie diagnosis. AJR 1978; 131: 867–869.CrossRefGoogle Scholar
6.Eisenberg, R, Bank, W, Hedgcock, M. Neurologic complications of angiography for cerebrovascular disease. Neurology 1980; 30: 895–897.CrossRefGoogle ScholarPubMed
7.D’Alton, JG, Norris, JW. Carotid Doppler evaluation in cerebrovascular disease. Can Med Assoc J 1983; 129: 1184–1189.Google ScholarPubMed
8.Humphrey, PRD, Bradbury, PG. Continuous wave Doppler ultrasonography in the detection of carotid stenosis and occlusion. J Neurol Neurosurg Psychiatry 1984; 47: 1128–1130.CrossRefGoogle ScholarPubMed
9.Ratcliffe, DA, Hames, TK, Humphries, KN, et al. The reliability of Doppler ultrasound techniques in the assessment of carotid disease. Angiology 1985; 36: 333–340.CrossRefGoogle Scholar
10.Hames, TK, Humphries, KN, Ratcliffe, DA, et al. The validation of duplex scanning and continuous wave Doppler imaging: A comparison with conventional angiography. Ultrasound Med & Biol 1985; 2: 827–834.CrossRefGoogle Scholar
11.Fleiss, JL. The design and analysis of clinical experiments. New York, John Wiley & Sons, 1986.Google Scholar
12.Croft, RJ, Ellam, LD, Harrison, MJG. Accuracy of carotid angiography in the assessment of atheroma of the internal carotid artery. Lancet 1980; 1: 997–1000.CrossRefGoogle ScholarPubMed
13.Eikelboom, BC, Riles, TR, Mintzer, R, et al. Inaccuracy of angiography in the diagnosis of carotid ulceration. Stroke 1983; 14: 882–885.CrossRefGoogle ScholarPubMed
14.O’Donnell, TF, Erdoes, L, Mackey, WC, et al. Correlation of firn ode ultrasound imaging and arteriography with pathologic findings at carotid endarterectomy. Arch Surg 1985; 120: 443–449.CrossRefGoogle Scholar
15.Reilly, LM, Lusby, RJ, Hughes, L, et al. Carotid plaque histology using real-time ultrasonography. Clinical and therapeutic implications. Am J Surg 1983; 146: 188–193.CrossRefGoogle ScholarPubMed
16.Bluth, EI, Kay, D, Merritt, CRB, et al. Sonographic characterization of carotid plaque: detection of hemorrhage. AJR 1986; 146: 1061–1065.CrossRefGoogle ScholarPubMed
17.Davenport, KL, Sterpetti, AV, Hunter, WJ, et al. Real-time B-mode carotid imaging and plaque morphology. J Vase Technol 1987; 11: 176–182.Google Scholar
18.Katz, ML, Johnson, M, Pomajzl, MJ, et al. The sensitivity of real-time B-mode carotid imaging in the detection of ulcerated plaques. Bruit 1983; 8: 13–16.Google Scholar
19.Zwiebel, WJ, Austin, CW, Sackett, JF, et al. Correlation of high-resolution, B-mode and continuous-wave Doppler sonography with arteriography in the diagnosis of carotid stenosis. Radiology 1983; 149: 523–532.CrossRefGoogle ScholarPubMed
20.Heyman, A, Wilkinson, WE, Heyden, S, et al. Risk of stroke in asymptomatic persons with cervical arterial bruits: a population study in Evans County, Georgia.? Engl J Med 1980; 302: 838–841.CrossRefGoogle ScholarPubMed
21.Wolf, PA, Kannel, WB, Sorlie, P, et al. Asymptomatic carotid bruit and risk of stroke: the Framingham Study. JAMA 1981; 245: 1442–1445.CrossRefGoogle ScholarPubMed
22.Chambers, BR, Norris, JW. Clinical significance of asymptomatic neck bruits. Neurology 1985; 35: 742–745.CrossRefGoogle ScholarPubMed
23.Norris, JW, Bornstein, NM. Progression and regression of carotid stenosis. Stroke 1986; 17: 755–757.CrossRefGoogle ScholarPubMed
24.Imparato, AM, Riles, TS, Mintzer, R, et al. The importance of hemorrhage in the relationship between gross morphologic characteristics and cerebral symptoms in 376 carotid artery plaques. Am Surg 1983; 197: 195–203.Google ScholarPubMed
25.Lusby, RJ, Ferrell, LD, Ehrenfeld, WK, et al. Carotid plaque hemorrhage — its role in production of cerebral ischemia. Arch Surg 1982; 117: 1479–1488.CrossRefGoogle ScholarPubMed
26.Hennerici, M, Rautenberg, W, Sitzer, G, et al. Transcranial Doppler ultrasound for the assessment of intracranial arterial flow velocity — Part I. Examination technique and normal values. Surg Neurol 1987; 27: 439–448.CrossRefGoogle ScholarPubMed
27.Hennerici, M, Rautenberg, W, Schwartz, A. Transcranial Doppler ultrasound for the assessment of intracranial arterial flow velocity — Part 2. Evaluation of intracranial arterial disease. Surg Neurol 1987; 27: 523–532.CrossRefGoogle ScholarPubMed
28.Arnolds, BJ, von Reutern, G-M. Transcranial dopplersonography. Examination technique and normal reference values. Ultrasound Med & Biol 1986; 12: 115–132.CrossRefGoogle Scholar