Abstract
This chapter reviews the indications, limitations, and interpretations of an extracranial cerebrovascular duplex exam. It discusses how to prepare the patient and perform the ultrasound. It also addresses the clinical utility of the duplex in the evaluation of subclavian artery, vertebral artery, and carotid artery system. The correlation between severity of stenosis and severity of disease is also reviewed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Bibliography
Call GK, Abbott WM, Macdonald NR, et al. Correlation of continuous-wave Doppler spectral flow analysis with gross pathology in carotid stenosis. Stroke. 1988;19(5):584–8.
Primozich JF. Color flow in the carotid evaluation. J Vasc Tech. 1991;15(3):112–22.
Suwawela N, Can U, Furie KL, et al. Carotid Doppler ultrasound criteria for internal carotid artery stenosis based on residual lumen diameter calculated from en bloc carotid endarterectomy specimens. Stroke. 1996;27(11):1965–9.
Taylor DE, Strandness DE. Carotid artery duplex scanning. J Clin Ultrasound. 1987;15:635–44.
Gornik HL. Diagnostic criteria and interpretation: ICA, ECA, CCA and Tandem Lesions. SVU 2015 annual conference and marketplace.
Gerhard-Herman M, et al. Guidelines for noninvasive vascular laboratory testing: a report from the American Society of Echocardiography and the Society of Vascular Medicine and Biology. J Am Soc Echocardiogr. 2006;19:955–72.
Slovut DP, Romero JM, Hannon KM, Dick J, Jaff MR. Detection of common carotid artery stenosis using duplex ultrasonography: a validation study with computed tomographic angiography. J Vasc Surg. 2010;51(1):65–70.
Jing X, et al. Are you puzzled when credentialing entities ask you for criteria for external carotid artery stenosis? A study correlating peak systolic velocities and degree of external carotid artery stenosis based on CT angiography. J Vasc Ultrasound. 2018;42(4):155–61.
Lal BK, Hobson RW 2nd, Tofighi B, Kapadia I, Cuadra S, Jamil Z. Duplex ultrasound velocity criteria for the stented carotid artery. J Vasc Surg. 2008;47(I):63–73.
https://www.intersocietal.org/vascular/forms/IACCarotidCriteriaWhitePaper1-2014.pdf
Grant EG, Benson CB, Moneta GL, Alexandrov AV, Baker JD, Bluth EI, et al. Carotid artery stenosis: grayscale and Doppler US diagnosis – Society of Radiologists in ultrasound consensus conference. Radiology. 2003;229:340–6.
Gornik HL, Rundek T, Gardener H, et al. Optimization of duplex velocity criteria for diagnosis of internal carotid artery (ICA) stenosis: a report of the Intersocietal Accreditation Commission (IAC) Vascular Testing Division Carotid Diagnostic Criteria Committee. Vasc Med 2021;e-pubilshed ahead of print. Available for free download at: https://journals.sagepub.com/doi/full/10.1177/1358863X211011253.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Kim, Y., Lee, S., Root, D., Manchester, S., Dua, A. (2022). Extracranial Cerebrovascular Duplex. In: Dua, A., Root, D., Manchester, S., Kim, Y. (eds) The Massachusetts General Hospital Clinical Approach to Vascular Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-93127-8_1
Download citation
DOI: https://doi.org/10.1007/978-3-030-93127-8_1
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-93129-2
Online ISBN: 978-3-030-93127-8
eBook Packages: MedicineMedicine (R0)