Carotid artery imaging

Evidence-based neurology checklist on carotid artery imaging: Carotid duplex sonography: indications Assessment of amaurosis fugax Assessment of hemispheric transient ischaemic attacks (TIAs) Assessment of asymptomatic carotid stenosis of >50% Assessment of people with multiple atherosclerosis…

Carotid duplex sonography: indications

  • Assessment of amaurosis fugax
  • Assessment of hemispheric transient ischaemic attacks (TIAs)
  • Assessment of asymptomatic carotid stenosis of >50%
  • Assessment of people with multiple atherosclerosis risk factors
  • Assessment of stroke risk in people with coronary or peripheral vascular disease
  • Assessment of suitability for post-stroke revascularization surgery
  • Monitoring cervical artery bruit in asymptomatic patients
  • Monitoring of people after revascularization surgery
  • Intra-operative monitoring of carotid endarterectomy (CEA) or stenting

Catheter angiography: indications

Carotid MR angiogram (MRA) or CT angiogram (CTA): indications

Digital subtraction angiography (DSA)

References

  1. Brott TG, Halperin JL, Abbara S, et al. 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. Circulation 2011; 124:489-532. 
  2. Kasner SE, Liebeskind DS, Cucchiara BL, et al. Internal carotid artery "spring sign". Neurology 2002; 58:1099.
  3. Latchaw RE, Alberts MJ, Lev MH, et al. Recommendations for imaging of acute ischemic stroke: a scientific statement from the American Heart Association. Stroke 2009; 40: 3646-3678.

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