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January 1, 1982Archives of Surgery

Evaluation of Carotid Bifurcation Disease

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Why the study?

Can duplex ultrasonographic velocity patterns in the common carotid artery accurately detect the severity of internal carotid artery disease?

Population

156 patients with arteriographically verified internal carotid artery disease

Design

Cross-sectional

Authors

PBPaul J. BreslauAlbert Schweitzer Ziekenhuis

Discussion

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Implication

May signal either ICA occlusion or 90-99% stenosis on duplex ultrasound; hypothesis-generating and requires prospective validation before refining diagnostic thresholds.

Structured PICO

Can duplex ultrasonographic velocity patterns in the common carotid artery accurately detect the severity of internal carotid artery disease?

P
Population
156 patients with arteriographically verified internal carotid artery disease
I
Intervention
Duplex ultrasonographic velocity pattern evaluation of the common carotid artery
O
Outcome
Velocity patterns (specifically flow to zero during diastole) in the common carotid arterysurrogate

Flow to zero during diastole in the common carotid artery on duplex ultrasound can indicate either total occlusion or high-grade (90-99%) stenosis of the internal carotid artery.

Cite This Study

Paul J. Breslau (1982) studied this question.

synapsesocial.com/papers/6a929ee66a4f73282e1838cdhttps://doi.org/10.1001/archsurg.1982.01380250040009
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Also Consider

Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Noninvasive Detection and Evaluation of Carotid Occlusive Disease1973 · 151 citations
  2. 2Measurement of Cerebral Blood Flow by Ultrasonic Doppler Technique : THEORY1965 · 39 citations
  3. 3Ultrasonic duplex scanning for disease of the carotid artery.1981 · 222 citations
  4. 4Carotid artery velocity patterns in normal and stenotic vessels.1980 · 245 citations