Carotid ultrasound comparison with angiography. Why do we make mistakes and how to avoid them?
Abstract
Atherosclerosis is the most common cause of stroke. Non-invasive diagnostic technique can detect and evaluate the severity of the stenosis of the arteries: carotid duplex scanning, magnetic resonance and computed tomography angiography. Selective digital subtraction angiography is minimally invasive method. Selective angiography is the «gold» standard in the diagnosis of atherosclerosis of carotid arteries. The method allows to evaluate the blood vessels that supply blood to the brain and at the same time to perform endovascular surgery.
Duplex scanning of the Carotid Arteries, magnetic resonance and computed tomography angiography showed high sensitivity and specificity for the diagnosis of Carotid Artery stenosis, compared with the selective digital subtraction angiography. Ultrasonography – fast, relatively inexpensive diagnostic study of vessels disease. Although the results of carotid duplex scanning may be different in other laboratories and researchers, but the sensitivity and specificity of this study is defined as the highest.
The article analyzes the results own researches and to introduce the review features of digital subtraction angiography and ultrasound. Possible reasons that cause different results from different methods have been analyzed.
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References
Scheglov DV, Babkina TM, Nosenko NN et al. Extracranial arteries stenosis: features of digital subtraction angiography and ultrasound (Rus). Endovascular Neuroradiol (Ukr). 2015;2 (12):63-73.
Clinical protocol of neurosurgical help to patients with the consequences of ischemic stroke, with occlusions and stenoses of preecerebral and cerebral arteries, which do not cause the development of cerebral infarction. Order of the Ministry of Health of Ukraine N 317 13.06.2008 (Ukr). Ukrayinskij nejrohirurgichnij zhurnal (Ukr). 2008;3 (43):78-9.
National guidelines for managing patients with brachiocephalic artery disease (Rus). Angiologija i sosud- istajahirurgija (Rus). 2013;19(2):68.
Valdueza XM, Schreiber SJ, Röhl JE, Klingebel RK. Neurosonology and neuroimaging of stroke. M.: Med- press-inform, 2012: 605.
Babkina TM, Nosenko NN, Kulyeva ML, Dzygar OV. Carotid atherosclerotic and features of methodology of duplex scanning (Rus). Luchevaja diagnostika. Luche- vaja terapija (Ukr). 2014;3-4:66-72.
AIUM Practice Parameter for the Performance of an Ultrasound Examination of the Extracranial Cerebrovascular System. 2016. http://www.aium.org/resourc- es/guidelines/extracranial.pdf.
Grant EG, Benson CB, Moneta GL et al. Carotid artery stenosis: gray-scale and Doppler US diagnosis - society of radiologists in ultrasound consensus conference. Radiol. 2003;229:340-6. doi.org/10.1148/radi- ol.2292030516.
Bluth EI, Stavros A, Marich K et al. Carotid duplex sonography: a multicenter recommendation for standardized imaging and Doppler criteria. RadioGraphics. 1988;8(3):487-506. doi:10.1148/radiographics.8.3.32 89100.
Moneta GL, Edwards JM, Chitwood RW et al. Correlation of North American Symptomatic Carotid Endarterectomy Trial (NASCET) angiographic definition of 70 % to 99 % internal carotid artery stenosis with duplex scanning. J. Vasc. Surg. 1993;17:152-9. doi:10.1067/mva.1993.42888.
Rothwell PM, Gibson RJ, Slattery J, Sellar RJ, War- low CP. Equivalence of measurements of carotid stenosis: a comparison of three methods on 1001 angiograms. Stroke. 1994;25:2435-2435-45.
European Carotid Surgery Trialist’s Collaborative Group. Lancet. 1991;337:1235-43. PMID: 1674060.
Spagnoli LG, Mauriello A, Sangiorgi G et al. Extracranial thrombotically active carotid plaque as a risk factor for ischemic stroke. JAMA. 2004;292 (15):1845-52.
von Reutern GM, Goertler MW, Bornstein NM et al. Grading carotid stenosis using ultrasonic methods. Stroke. 2012;43(3):916-21. doi:10.1161/STROKEA- HA.111.636084.
Greenland P, Alpert J, Beller G et al. ACCF/AHA Guideline for Assessment of Cardiovascular Risk in Asymptomatic Adults. J. Am. Coll. Cardiol. 2010;56(25):e50-e103. doi:10.1016/jjacc.2010.09.001.
Thomas GB, Jonathan LH, Suhny A et al. Guideline on the management of patients with extracranial carotid and vertebral artery disease. A report. J. Am. Coll. Cardiol. 2011;57:e16-e94. doi:10.1016/j. jacc.2010.11.006.
Gerhard-Herman M, Gardin JM, Jaff M et al. Guidelines for Noninvasive Vascular Laboratory Testing: A Report from the American Society of Echocardiography and the Society of Vascular Medicine and Biology. J. Am. S. Echo. 2006;19(8):955-72. doi:10.1016/j. echo.2006.04.019.
Stein JH, Korcarz CE, Wendy SJ et al. ASE CONSENSUS STATEMENT: 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. J. Am. S. Echo. 2008;12(1):93-111. doi:10.1111/j.1751- 7141.2008.00021.x
Oates CP, Naylor AR, Hartshorne T et al. Joint Recommendations for Reporting Carotid Ultrasound Investigations in the United Kingdom Eur. J. Vasc. Endovasc. Surg. 2009;37(3):251-61. doi:10.1016/j. ejvs.2008.10.015.
Blakeley DD, Oddone EZ, Hasselblad V at al. Noninvasive carotid artery testing. A meta-analytic review. Ann Intern Med. 1995;122:360. doi:10.7326/0003- 4819-122-5-199503010-00007.
Wardlaw JM, Chappell FM, Best JJK, Wartolow- ska K, Berry E. Non-invasive imaging compared with intra-arterial angiography in the diagnosis of symptomatic carotid stenosis: a meta-analysis. Lancet. 2006;367:1503-12. doi:http://dx.doi.org/10.1016/S01 40-6736(06)68650-9.
North American Symptomatic Carotid Endarterectomy Trial Collaborators. N Engl J Med. 1991;325:445-53.
Aburahma AF, Abu-Halimah S, Bensenhaver J et al. Optimal carotid duplex velocity criteria for defining the severity of carotid in-stent restenosis. J. Vasc. Surg. 2008;48:589-94. doi: 10.1177/1531003509337030.
Qureshi AI, Alexandrov AV, Tegeler CH et al. Guidelines for screening of extracranial carotid artery disease: a statement for healthcare professionals from the Multidisciplinary Practice Guidelines Committee of the American Society of Neuroimaging; cosponsored by the Society of Vascular and Interventional Neurology. J. Neuroimaging. 2007;17:19-47. doi:10.1111/ j.1552-6569.2006.00085.x.
Arning C, Widder B, von Reutern GM et al. Revision of DEGUM ultrasound criteria for grading internal carotid artery stenosis and transfer to NASCET measurement. Ultraschall Med. 2010;31:251- 7. doi:10.1055/s-0029-1245336.
Jonas DE, Feltner C, Amick HR et al. Screening for Asymptomatic Carotid Artery Stenosis: A Systematic Review and Meta-analysis for the U.S. Preventive Services. Ann. Intern. Med. 2014;161(5):336-46. doi:10.7326/m14-0530.
Wolff T, Guirguis-Blake J, Miller T, Gillespie M, Harris R. Screening for carotid artery stenosis: an update of the evidence for the U.S. Preventive Services Task Force. Ann. Intern. Med. 2007;147:860-70. PMID: 18087057.
Walker J, Naylor AR. Ultrasound based measurement of carotid stenosis >70 % an audit of UK practice. Eur. J. Vasc. Endovasc. Surg. 2006;31:487-90. doi:http:// dx.doi.org/10.1016/j.ejvs.2005.11.029.
