In Spain, approximately 28% of ischaemic strokes have an atherothrombotic cause, and most are due to carotid stenosis. Ultrasound is the most commonly used technique for diagnosing carotid stenosis. Changes in blood flow velocity at the point of maximum stenosis, together with haemodynamic changes in proximal regions (common carotid artery) and distal regions (poststenotic internal carotid, oph...

In vitro studies have demonstrated that geometry of the carotid bifurcation predicts blood flow alterations associated with atherosclerotic plaque formation. We investigated intraindividual asymmetry of carotid atherosclerosis by measuring geometric aspects of the carotid bifurcation. We measured diameter stenosis, the internal carotid artery/common carotid artery area ratio, and the angle of t...

In this study, a new approach based on adaptive neuro-fuzzy inference system (ANFIS) was presented for detection of internal carotid artery stenosis and occlusion. The internal carotid arterial Doppler signals were recorded from 130 subjects that 45 of them suffered from internal carotid artery stenosis, 44 of them suffered from internal carotid artery occlusion and the rest of them were health...

A 72 year old woman complained of transient loss of vision in the left eye. She had undergone a left carotid endarterectomy 10 years previously. Reduced ophthalmic artery pressure was found on noninvasive carotid artery testing and cerebral angiography was performed. No lesion was evident in the carotid artery, but significant ophthalmic artery stenosis was identified. We report this case as sh...

Background: Carotid ultrasound is useful examination for prevention and management of ischemic stroke and atherosclerosis linked with vascular risk factors. Age and gender are independent factors for stroke. Lacunar stroke is more attributed to chronic hypertension, diabetes mellitus and alcohol abuse, while nonlacunar infarction to carotid artery stenosis and atrial fibrillation. Methods: A re...

Duplex scanning of the carotid bifurcation has emerged as an accurate noninvasive means of predicting and quantifying carotid arterial stenoses. Compared with the more widely reported measurements of spectral broadening and peak frequency ratios, measurements of diastolic velocity ratios have theoretical advantages in predicting carotid artery stenosis. The use of diastolic velocity ratios betw...

BACKGROUND Carotid sinus hypersensitivity is a common cardiovascular cause of unexplained or recurrent falls in older adults. Effective treatment is available once carotid sinus hypersensitivity is identified. Carotid sinus massage is the only practical method for achieving a diagnosis. Carotid sinus massage is contraindicated if a carotid bruit is present. OBJECTIVE To determine the prevalen...

Atherosclerosis is the most frequent cause of extracranial cerebrovascular disease, and represents an important cause of stroke and transient ischemic attack, being responsible for up to 15% to 20% of all ischemic strokes (1). Carotid artery stenosis has long been recognized as an important risk factor. In most studies of carotid artery stenosis intervention, clinically important stenosis, beyo...

Thomas JH: Incidence of recurrent stenosis after carotid endarter-ectomy determined by digital subtraction angiography. Digital transvenous angiography in follow-up examinations after carotid reconstruction. SUMMARY Doppler analysis of flow in intracranlal arteries is now possible using a 2 MHz probe allowing sufficient penetration of bone to obtain signals noninvasivety. Thirty-two normal subj...

We present the case of a 47-year-old man admitted to our department with an episode of aphasia. Duplex scan showed an occluded right internal carotid artery and severe left internal carotid artery stenosis. Contrast-enhanced computer tomography demonstrated a common trunk for both common carotid arteries anterior to the trachea and aberrant right subclavian artery posterior to the esophagus. Th...