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Clinical Implications of the Vascular Laboratory in the Diagnosis of Cerebrovascular Insufficiency

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Abstract

Various noninvasive tests for the evaluation of cerebrovascular insufficiency have been described in previous chapters. Most forms of noninvasive testing pose less stress and less expense to the patient than angiography. While early forms of noninvasive testing depended on the presence of severe disease, the current techniques, especially carotid artery imaging, demonstrate the opposite characteristic. Carotid imaging is able to detect minimal disease that is not hemodynamically significant; in fact, overestimation of the degree of stenosis in these cases has been a consistent problem. Nevertheless, any test intended for screening must have a high degree of sensitivity to be used appropriately in the initial assessment of disease. Noninvasive assessment, therefore, combines low risk, low cost, and high sensitivity.

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Authors and Affiliations

  1. Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

  2. Charleston Area Medical Center, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

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  1. Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI
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Editors and Affiliations

  1. Department of Surgery, Robert C. Byrd Health Sciences Center, West Virginia University, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence) (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

  2. Charleston Area Medical Center, Charleston, WV, USA

    Ali F. AbuRahma MD, FACS, FRCS, RVT, RPVI (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence) (Professor, Chief, Vascular/Endovascular Surgery, Medical Director, Vascular Laboratory, Co-Director, Vascular Center of Excellence)

  3. UCSD School of Medicine, La Jolla, CA, USA

    John J. Bergan MD, FACS, Hon FRCS

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AbuRahma, A.F. (2010). Clinical Implications of the Vascular Laboratory in the Diagnosis of Cerebrovascular Insufficiency. In: AbuRahma, A.F., Bergan, J.J. (eds) Noninvasive Cerebrovascular Diagnosis. Springer, London. https://doi.org/10.1007/978-1-84882-957-2_13

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