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On-demand course library with video lectures, expert case reviews, and more
Fellowship Certificate™ Programs
Practice-focused training programs designed to help you gain experience in a specific subspecialty area.
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Unlock access to our full Course Library and all self-paced Fellowships.
Continuing Medical Education (State CME)
Complete all of your state CME requirements in one convenient place.
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For Training Programs
Supplement your training program with case-based learning for residents, registrars, fellows, and more.
For Private Practices
Upskill in high growth, advanced imaging areas.
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Prepare trainees to be on call for the emergency department with this specialized training series.
2 topics, 11 min. of video
10 topics, 22 min. of video
7 topics, 17 min. of video
2 topics, 3 min. of video
3 topics, 9 min. of video
3 topics, 8 min. of video
2 topics, 3 min. of video
1 topic, 1 min. of video
0:00
So here's some examples of a more significant hemodynamic stenosis on the left.
0:06
This is a greater than 70% ICA stenosis.
0:09
So you can see here as we are in the proximal left ICA, we really have some pretty
0:15
dense shadowing plaque. If you had to guess, you can really see that the channel
0:19
appears to be pretty narrowed here, and then as we move towards the color Doppler
0:24
images, you can start to see how that's happening, as well as some areas of
0:28
turbulence. And so as we start to measure these areas of flow, you can see
0:33
when we put the Doppler gate within here, the waveform is showing us a velocity of
0:39
243 centimeters per second. And then as we kind of go further down
0:46
in a similar spot, we start to see elevations all the way up to almost 310
0:51
centimeters per second. So those are pretty significant velocity elevations, and
0:55
that would be consistent with a greater than 70% stenosis.
1:00
You can see we have a bit of a more normal return velocity just beyond this point,
1:05
but again, we sort of want to focus on the highest velocity that we find within
1:09
this area, and that's consistent with greater than 70% stenosis.
Interactive Transcript
0:00
So here's some examples of a more significant hemodynamic stenosis on the left.
0:06
This is a greater than 70% ICA stenosis.
0:09
So you can see here as we are in the proximal left ICA, we really have some pretty
0:15
dense shadowing plaque. If you had to guess, you can really see that the channel
0:19
appears to be pretty narrowed here, and then as we move towards the color Doppler
0:24
images, you can start to see how that's happening, as well as some areas of
0:28
turbulence. And so as we start to measure these areas of flow, you can see
0:33
when we put the Doppler gate within here, the waveform is showing us a velocity of
0:39
243 centimeters per second. And then as we kind of go further down
0:46
in a similar spot, we start to see elevations all the way up to almost 310
0:51
centimeters per second. So those are pretty significant velocity elevations, and
0:55
that would be consistent with a greater than 70% stenosis.
1:00
You can see we have a bit of a more normal return velocity just beyond this point,
1:05
but again, we sort of want to focus on the highest velocity that we find within
1:09
this area, and that's consistent with greater than 70% stenosis.
Report
Faculty
Constantine M. Burgan, MD
Professor, Abdominal Radiology
University of Alabama at Birmingham
Tags
Vascular Imaging
Vascular
Ultrasound
Non-infectious Inflammatory
Carotid and vertebral arteries
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