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Color Duplex Scanning on Other Miscellaneous Carotid Topics

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Noninvasive Vascular Diagnosis

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Abstract

Although patients should be evaluated by careful history and physical examination, our policy tends to rely on noninvasive vascular testing (duplex ultrasound [DUS]) as an initial step in the diagnosis of carotid artery disease. The results of DUS may also help in obtaining optimal angiograms. An example is the patient with DUS evidence of severe stenosis who has no significant stenosis demonstrated in standard views of the carotid artery bifurcation. The results of the DUS indicate the need for additional angiogram projections, and if the bifurcation region does not show the expected lesion, there is a strong indication for obtaining adequate siphon views. This chapter will summarize the clinical implications of the vascular laboratory in the diagnosis of extracranial cerebrovascular disease including: the role of magnetic resonance angiography, computed tomography angiography, color duplex ultrasound, and catheter-based digital subtraction arteriography, in single or combination, asymptomatic carotid bruit, management of patients with transient ischemic attacks (TIA), intraoperative duplex ultrasound assessment of carotid endarterectomy (CEA), and post-CEA stroke. It will also cover the value of DUS surveillance after CEA, carotid artery stenting, and the diagnosis of temporal arteritis.

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Authors and Affiliations

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

    Ali F. AbuRahma

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  1. Ali F. AbuRahma
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Correspondence to Ali F. AbuRahma .

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  1. Department of Surgery, West Virginia University, Charleston, WV, USA

    Ali F. AbuRahma

  2. Johns Hopkins University, Baltimore, USA

    Bruce A. Perler

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

    Ali F. AbuRahma

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AbuRahma, A.F. (2021). Color Duplex Scanning on Other Miscellaneous Carotid Topics. In: AbuRahma, A.F., Perler, B.A. (eds) Noninvasive Vascular Diagnosis. Springer, Cham. https://doi.org/10.1007/978-3-030-49616-6_20-1

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