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Carotid Duplex Ultrasonography: Additional Imaging Is Rarely Necessary for Appropriate Treatment Planning for Carotid Artery Disease.

Abstract This study was conducted to determine the utility of multiple imaging studies (CT angiography, magnetic resonance angiography, and/or conventional angiography), in addition to duplex ultrasonography (DU), in evaluating patients with carotid stenosis. A retrospective case series was conducted of patients with carotid stenosis who underwent DU alone or DU plus additional imaging. Concordance between DU and additional imaging and the effect on treatment plan was evaluated. Two hundred patients with carotid stenosis were evaluated. Sixty-four had DU plus additional imaging. Sixty-two of the patients (96.9%) had no change in treatment due to additional imaging. Only 2 of the 64 patients (3.1%) with additional imaging had a change in treatment plan. In conclusion, additional imaging, beyond DU, is rarely necessary for treatment planning in patients with carotid disease.
PMID
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Authors

Mayor MeshTerms

Ultrasonography, Doppler, Duplex

Keywords
Journal Title the american surgeon
Publication Year Start




PMID- 28424133
OWN - NLM
STAT- MEDLINE
DA  - 20170420
DCOM- 20170501
LR  - 20170501
IS  - 1555-9823 (Electronic)
IS  - 0003-1348 (Linking)
VI  - 83
IP  - 4
DP  - 2017 Apr 01
TI  - Carotid Duplex Ultrasonography: Additional Imaging Is Rarely Necessary for
      Appropriate Treatment Planning for Carotid Artery Disease.
PG  - 377-380
AB  - This study was conducted to determine the utility of multiple imaging studies (CT
      angiography, magnetic resonance angiography, and/or conventional angiography), in
      addition to duplex ultrasonography (DU), in evaluating patients with carotid
      stenosis. A retrospective case series was conducted of patients with carotid
      stenosis who underwent DU alone or DU plus additional imaging. Concordance
      between DU and additional imaging and the effect on treatment plan was evaluated.
      Two hundred patients with carotid stenosis were evaluated. Sixty-four had DU plus
      additional imaging. Sixty-two of the patients (96.9%) had no change in treatment 
      due to additional imaging. Only 2 of the 64 patients (3.1%) with additional
      imaging had a change in treatment plan. In conclusion, additional imaging, beyond
      DU, is rarely necessary for treatment planning in patients with carotid disease.
FAU - Ammar, Chad P
AU  - Ammar CP
FAU - Helmer, Stephen D
AU  - Helmer SD
FAU - Ammar, Alex D
AU  - Ammar AD
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am Surg
JT  - The American surgeon
JID - 0370522
SB  - IM
MH  - Aged
MH  - Carotid Stenosis/*diagnostic imaging/*therapy
MH  - Computed Tomography Angiography
MH  - Female
MH  - Humans
MH  - Magnetic Resonance Angiography
MH  - Male
MH  - Patient Care Planning
MH  - Retrospective Studies
MH  - *Ultrasonography, Doppler, Duplex
EDAT- 2017/04/21 06:00
MHDA- 2017/05/02 06:00
CRDT- 2017/04/21 06:00
PST - ppublish
SO  - Am Surg. 2017 Apr 1;83(4):377-380.

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