Carotid artery noninvasive testing is being overused.

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Comments, Opinions and Reviews Carotid Artery Noninvasive Testing is Being Overused

The most frequent tests done in the evaluation of patients with potential cerebrovascular disease are Oculoplethysmography (OPG) and Imaging procedures. These procedures are useful in the evaluation of asymptomatic carotid bruits and may be helpful in evaluating patients with nonhemispheric symptoms. However, there is no reasonable indication for the use of these noninvasive procedures on patie...

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Over a 3 year period eight cases of atherosclerotic pseudoocclusion were detected by carotid angiography. The diagnosis was based on the detection of a thin, delayed antegrade trickle of contrast medium distal to an area of extreme stenosis. In six of these cases both direct and indirect noninvasive tests were interpreted as showing total occlusion. In one case these tests were thought to demon...

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Preoperative diagnosis of carotid artery stenosis: accuracy of noninvasive testing.

BACKGROUND AND PURPOSE Carotid endarterectomy has been shown to be beneficial in symptomatic patients with a severe stenosis (70% to 99%) of the internal carotid artery (ICA). Digital subtraction angiography (DSA) is the standard of reference in the diagnosis of carotid artery stenosis but has a relatively high complication rate. In a diagnostic study we investigated the accuracy of noninvasive...

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Noninvasive monitoring of internal carotid artery dissection.

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Noninvasive testing for carotid artery stenosis: I. Prospective analysis of three methods.

Oculoplethysmography-carotid phonoangiography and periorbital directional Doppler sonography are two techniques widely used in the noninvasive evaluation of possible carotid artery disease. Recent advances with sonographic Doppler devices now permit measurement of blood velocities in the extracranial carotid arteries by direct scanning with a color coded Doppler imaging system. A prospective st...

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ژورنال

عنوان ژورنال: Stroke

سال: 1983

ISSN: 0039-2499,1524-4628

DOI: 10.1161/01.str.14.5.819