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Case: >70% stenosis

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So here's some examples of a more significant hemodynamic stenosis on the left.

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This is a greater than 70% ICA stenosis.

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So you can see here as we are in the proximal left ICA, we really have some pretty

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dense shadowing plaque. If you had to guess, you can really see that the channel

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appears to be pretty narrowed here, and then as we move towards the color Doppler

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images, you can start to see how that's happening, as well as some areas of

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turbulence. And so as we start to measure these areas of flow, you can see

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when we put the Doppler gate within here, the waveform is showing us a velocity of

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243 centimeters per second. And then as we kind of go further down

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in a similar spot, we start to see elevations all the way up to almost 310

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centimeters per second. So those are pretty significant velocity elevations, and

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that would be consistent with a greater than 70% stenosis.

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You can see we have a bit of a more normal return velocity just beyond this point,

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but again, we sort of want to focus on the highest velocity that we find within

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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