Carotid Ultrasound.

Doppler ultrasound (US) is the primary noninvasive imaging modality for detecting, grading, and monitoring extracranial internal carotid artery (ICA) stenosis, which is a well-established surrogate marker for stroke risk. In addition, Doppler US is the primary imaging modality for surveillance of patients following carotid intervention with endarterectomy or stent placement. This article reviews the pathophysiology and epidemiology of stroke, technique for performing a carotid US examination, normal findings, and diagnostic US criteria for evaluating carotid plaque, grading stenosis in the native ICA and following intervention, as well as waveform analysis of the carotid arteries.

• Publication year

  2019

• Venue

  The Radiologic clinics of North America

• Publication date

  2019-05-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.1016/j.rcl.2019.01.008PMID 30928074
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Retraction and Republication: Primary Prevention of Cardiovascular Disease with a Mediterranean Diet. N Engl J Med 2013;368:1279-90.

  2018cited by this paper
• Heart Disease and Stroke Statistics—2018 Update: A Report From the American Heart Association

  2018cited by this paper
• Computer-assisted detection of tardus parvus waveforms on Doppler ultrasound

  2017cited by this paper
• Restenosis after carotid artery stenting

  2017cited by this paper
• Doppler Ultrasound Evaluation of Circulatory Support Devices

  2017cited by this paper
• Clinical Perspective of Carotid Plaque Imaging.

  2016cited by this paper
• Plaque Echolucency and Stroke Risk in Asymptomatic Carotid Stenosis: A Systematic Review and Meta-Analysis

  2015cited by this paper
• Carotid artery plaque morphology and composition in relation to incident cardiovascular events: the Multi-Ethnic Study of Atherosclerosis (MESA).

  2014cited by this paper
• Three-Dimensional Carotid Ultrasound Plaque Texture Predicts Vascular Events

  2014cited by this paper
• Carotid intima-media thickness for cardiovascular risk assessment: systematic review and meta-analysis.

  2013cited by this paper
• Common carotid intima-media thickness measurements in cardiovascular risk prediction: a meta-analysis.

  2012cited by this paper
• Carotid plaque burden as a measure of subclinical atherosclerosis: comparison with other tests for subclinical arterial disease in the High Risk Plaque BioImage study.

  2012cited by this paper
• 2011 ASA/ACCF/AHA/AANN/AANS/ACR/ASNR/CNS/SAIP/SCAI/SIR/SNIS/SVM/SVS guideline on the management of patients with extracranial carotid and vertebral artery disease: executive summary: a report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guideline

  2011cited by this paper
• Critical appraisal of the Carotid Duplex Consensus criteria in the diagnosis of carotid artery stenosis.

  2011cited by this paper
• Carotid artery stenting vs carotid endarterectomy: meta-analysis and diversity-adjusted trial sequential analysis of randomized trials.

  2011cited by this paper
• Imaging of atherosclerosis: carotid intima-media thickness.

  2010cited by this paper
• Stroke Incidence Is Decreasing in Whites But Not in Blacks: A Population-Based Estimate of Temporal Trends in Stroke Incidence From the Greater Cincinnati/Northern Kentucky Stroke Study

  2010cited by this paper
• Noninvasive imaging of the vulnerable atherosclerotic plaque.

  2010cited by this paper
• Carotid Doppler Ultrasound Findings in Patients With Left Ventricular Assist Devices

  2010cited by this paper
• Inflammation within carotid atherosclerotic plaque: assessment with late-phase contrast-enhanced US.

  2010cited by this paper
• Cervical-artery dissections: predisposing factors, diagnosis, and outcome.

  2009cited by this paper
• Emerging Risk Factors for Coronary Heart Disease: A Summary of Systematic Reviews Conducted for the U.S. Preventive Services Task Force

  2009cited by this paper
• Contrast carotid ultrasound for the detection of unstable plaques with neoangiogenesis: a pilot study.

  2009cited by this paper
• Use of carotid ultrasound to identify subclinical vascular disease and evaluate cardiovascular disease risk: a consensus statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force. Endorsed by the Society for Vascular Medicine.

  2008cited by this paper
• Grading Carotid Intrastent Restenosis: A 6-Year Follow-Up Study

  2008cited by this paper
• Contrast-enhanced ultrasound imaging of intraplaque neovascularization in carotid arteries: correlation with histology and plaque echogenicity.

  2008cited by this paper
• Carotid and vertebral artery dissections: clinical aspects, imaging features and endovascular treatment

  2007cited by this paper
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  2007cited by this paper
• Prediction of Clinical Cardiovascular Events With Carotid Intima-Media Thickness: A Systematic Review and Meta-Analysis

  2007cited by this paper
• Waveform Analysis of the Carotid Arteries

  2006cited by this paper
• Trends in incidence, lifetime risk, severity, and 30-day mortality of stroke over the past 50 years.

  2006cited by this paper
• Optimal peak systolic velocity threshold at duplex us for determining the need for carotid endarterectomy: a decision analytic approach.

  2006cited by this paper
• Contrast ultrasound imaging of the carotid artery vasa vasorum and atherosclerotic plaque neovascularization.

  2006cited by this paper
• Carotid Plaque Pathology: Thrombosis, Ulceration, and Stroke Pathogenesis

  2005cited by this paper
• Inflammation, atherosclerosis, and coronary artery disease.

  2005cited by this paper
• The Need for Urgency in Identification and Treatment of Symptomatic Carotid Stenosis Is Already Established

  2005cited by this paper
• Protected carotid-artery stenting versus endarterectomy in high-risk patients.

  2004cited by this paper
• Carotid artery stenosis: gray-scale and Doppler US diagnosis--Society of Radiologists in Ultrasound Consensus Conference.

  2003cited by this paper
• A spectrum of Doppler waveforms in the carotid and vertebral arteries.

  2003cited by this paper
• Analysis of pooled data from the randomised controlled trials of endarterectomy for symptomatic carotid stenosis.

  2003cited by this paper
• Three-dimensional power-mode ultrasound for quantification of the progression of carotid artery atherosclerosis

  2000cited by this paper
• Carotid-artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults. Cardiovascular Health Study Collaborative Research Group.

  1999cited by this paper
• Hypoechoic plaque at US of the carotid artery: an independent risk factor for incident stroke in adults aged 65 years or older. Cardiovascular Health Study.

  1998cited by this paper
• Atherosclerosis is an Inflammatory Disease

  1998cited by this paper
• Common carotid intima-media thickness and risk of stroke and myocardial infarction: the Rotterdam Study.

  1997cited by this paper
• Association of coronary heart disease incidence with carotid arterial wall thickness and major risk factors: the Atherosclerosis Risk in Communities (ARIC) Study, 1987-1993.

  1997cited by this paper
• Duplex sonography of the carotid arteries in patients with isolated aortic stenosis: imaging findings and relation to severity of stenosis.

  1996cited by this paper
• Endarterectomy for asymptomatic carotid artery stenosis.

  1995cited by this paper
• Effect of contralateral severe stenosis or carotid occlusion on duplex criteria of ipsilateral stenoses: comparative study of various duplex parameters.

  1995cited by this paper
• Ultrasonographically assessed carotid morphology and the risk of coronary heart disease.

  1991cited by this paper
• Beneficial effect of carotid endarterectomy in symptomatic patients with high-grade carotid stenosis.

  1991cited by this paper
• Doppler waveform parvus and tardus. A sign of proximal flow obstruction.

  1989cited by this paper
• Sonographic characterization of carotid plaque: detection of hemorrhage.

  1986cited by this paper
• Quantitation of Carotid Stenosis with Continuous‐Wave (C‐W) Doppler Ultrasound

  1979cited by this paper

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  2026cites this paper
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  2025cites this paper
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  2025cites this paper
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  2025cites this paper
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  2025cites this paper
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  2025cites this paper
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  2024cites this paper
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  2020cites this paper
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