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Role of Duplex Ultrasound in Carotid Screening

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Noninvasive Vascular Diagnosis

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Abstract

Ischemic stroke is among the major causes of mortality and disability worldwide. The majority of ischemic strokes have no warning symptoms, and the successful treatment of acute stroke is challenging. Therefore, the principal strategy against cerebrovascular disease and its role in causing ischemic stroke remains primary stroke prevention. Atherosclerotic plaque in the carotid artery causes a substantial proportion of ischemic strokes and is easily evaluated by duplex ultrasound. The goal of carotid bifurcation imaging for screening purposes is to detect those patients who have significant carotid bifurcation plaque in order to identify a “high-risk” patient population that would be likely to benefit from medical, surgical, or endovascular therapy designed to reduce their stroke risk.

Screening for asymptomatic carotid artery disease in the general population is clearly not indicated. However, screening of asymptomatic patients in selected high-risk cohorts known to have an increased prevalence of carotid disease with duplex ultrasonography is appropriate. The most important findings on the carotid duplex scan are the severity of the stenosis, but other morphological features likely also play a significant role in determining future stroke risk.

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Authors and Affiliations

  1. Florence and Joseph Ritorto Professor of Surgical Research, NYU Langone Medical Center, New York, NY, USA

    Caron Rockman

  2. Frank J. Veith Professor of Surgery, NYU Langone Medical Center, New York, NY, USA

    Glenn R. Jacobowitz

  3. Division of Vascular Surgery, NYU Langone Medical Center, New York, NY, USA

    Glenn R. Jacobowitz

Authors
  1. Caron Rockman
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  2. Glenn R. Jacobowitz
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Corresponding author

Correspondence to Caron Rockman .

Editor information

Editors and Affiliations

  1. Department of Surgery Division of Vascular/Endovascular Surgery, West Virginia University – Charleston Division, Charleston, WV, USA

    Ali F. AbuRahma

  2. Department of Surgery, Division of Vascular Surgery and Endovascular Therapy The John Hopkins University School of Medicine, Baltimore, MD, USA

    Bruce A. Perler

Section Editor information

  1. Department of Surgery, Division of Vascular/Endovascular Surgery, West Virginia University - Charleston Division, Charleston, WV, USA

    Ali F. AbuRahma M.D.

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Rockman, C., Jacobowitz, G.R. (2022). Role of Duplex Ultrasound in Carotid Screening. In: AbuRahma, A.F., Perler, B.A. (eds) Noninvasive Vascular Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-030-60626-8_9

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  • DOI: https://doi.org/10.1007/978-3-030-60626-8_9

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  • Online ISBN: 978-3-030-60626-8

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