Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Carotid duplex ultrasound: interpretations and clinical applications

  • Choi, Hye-Yeon (Department of Neurology, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine)
  • 투고 : 2021.08.27
  • 심사 : 2021.10.09
  • 발행 : 2021.10.31
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초록

Carotid duplex ultrasound is commonly used to diagnose various carotid artery diseases due to it being noninvasive and easy to perform. Carotid atherosclerosis is a major indicator for the need to perform carotid duplex ultrasound, which can determine the degree of stenosis, plaque characteristics, and intima-media thickness. It can also be used to screen and follow-up after carotid revascularization. Here we discuss the standard techniques, interpretations, and clinical indicators for carotid duplex ultrasounds.

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참고문헌

  1. Lee W. General principles of carotid Doppler ultrasonography. Ultrasonography 2014;33:11-17. https://doi.org/10.14366/usg.13018
  2. Touboul PJ, Hennerici MG, Meairs S, Adams H, Amarenco P, Bornstein N, et al. Mannheim carotid intima-media thickness and plaque consensus (2004-2006-2011). An update on behalf of the advisory board of the 3rd, 4th and 5th watching the risk symposia, at the 13th, 15th and 20th European Stroke Conferences, Mannheim, Germany, 2004, Brussels, Belgium, 2006, and Hamburg, Germany, 2011. Cerebrovasc Dis 2012;34:290-296. https://doi.org/10.1159/000343145
  3. Lee SJ, Yu S, Hong JM, Ahn SH, Jeong SK, Lee JY, et al. Extracranial carotid duplex ultrasonography. Part I-basic principles and standard examination for carotid and vertebral arteries, and jugular veins. J Neurosonol Neuroimag 2018;10:47-60. https://doi.org/10.31728/jnn.2018.00023
  4. Stein JH, Korcarz CE, Hurst RT, Lonn E, Kendall CB, Mohler ER, et al. 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 Soc Echocardiogr 2008;21:93-111; quiz 189-190. https://doi.org/10.1016/j.echo.2007.11.011
  5. Polak JF, Alessi-Chinetti JM, Kremkau FW. Doppler velocity estimates of internal carotid artery stenosis: angle correction parallel to the color Doppler Lumen versus parallel to the artery wall. J Ultrasound Med 2019;38:3211-3218. https://doi.org/10.1002/jum.15029
  6. Kliewer MA, Freed KS, Hertzberg BS, Paulson EK, DeLong DM, Black BL, et al. Temporal artery tap: usefulness and limitations in carotid sonography. Radiology 1996;201:481-484. https://doi.org/10.1148/radiology.201.2.8888245
  7. Youn YJ, Lee NS, Kim JY, Lee JW, Sung JK, Ahn SG, et al. Normative values and correlates of mean common carotid intima-media thickness in the Korean rural middle-aged population: the Atherosclerosis RIsk of Rural Areas iN Korea General Population (ARIRANG) study. J Korean Med Sci 2011;26:365-371. https://doi.org/10.3346/jkms.2011.26.3.365
  8. Lee YH, Shin MH, Kweon SS, Nam HS, Park KS, Choi JS, et al. Normative and mean carotid intima-media thickness values according to metabolic syndrome in Koreans: the Namwon study. Atherosclerosis 2014;234:230-236. https://doi.org/10.1016/j.atherosclerosis.2014.02.023
  9. Grant EG, Benson CB, Moneta GL, Alexandrov AV, Baker JD, Bluth EI, et al. Carotid artery stenosis: gray-scale and Doppler US diagnosis--society of radiologists in ultrasound consensus conference. Radiology 2003;229:340-346. https://doi.org/10.1148/radiol.2292030516
  10. Naylor AR, Ricco JB, de Borst GJ, Debus S, de Haro J, Halliday A, et al. Editor's choice - management of atherosclerotic carotid and vertebral artery disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS). Eur J Vasc Endovasc Surg 2018;55:3-81. https://doi.org/10.1016/j.ejvs.2017.06.021
  11. Jahromi AS, Cina CS, Liu Y, Clase CM. Sensitivity and specificity of color duplex ultrasound measurement in the estimation of internal carotid artery stenosis: a systematic review and meta-analysis. J Vasc Surg 2005;41:962-972. https://doi.org/10.1016/j.jvs.2005.02.044
  12. Stojanov D, Ilic M, Bosnjakovic P, Zivkovic M, Jolic S, Vukasinovic N, et al. New ischemic brain lesions on diffusion-weighted MRI after carotid artery stenting with filter protection: frequency and relationship with plaque morphology. AJNR Am J Neuroradiol 2012;33:708-714. https://doi.org/10.3174/ajnr.A2840
  13. Madycki G, Staszkiewicz W, Gabrusiewicz A. Carotid plaque texture analysis can predict the incidence of silent brain infarcts among patients undergoing carotid endarterectomy. Eur J Vasc Endovasc Surg 2006;31:373-380. https://doi.org/10.1016/j.ejvs.2005.10.010
  14. Lee JY, Choi HY, Lee SI, Hwang YH, Cho AH, Seo WK, et al. Extracranial carotid duplex ultrasonography. Part II-clinical utility of carotid duplex ultrasound. J Neurosonol Neuroimag 2018;10:61-79. https://doi.org/10.31728/jnn.2018.00025
  15. Stilo F, Montelione N, Calandrelli R, Distefano M, Spinelli F, Di Lazzaro V, et al. The management of carotid restenosis: a comprehensive review. Ann Transl Med 2020;8:1272. https://doi.org/10.21037/atm-20-963
  16. Bond R, Rerkasem K, Naylor AR, Aburahma AF, Rothwell PM. Systematic review of randomized controlled trials of patch angioplasty versus primary closure and different types of patch materials during carotid endarterectomy. J Vasc Surg 2004;40:1126-1135. https://doi.org/10.1016/j.jvs.2004.08.048
  17. Brott TG, Halperin JL, Abbara S, Bacharach JM, Barr JD, Bush RL, 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. https://doi.org/10.1161/CIR.0b013e31820d8d78
  18. Aburahma AF. Duplex criteria for determining ≥50% and ≥80% internal carotid artery stenosis following carotid endarterectomy with patch angioplasty. Vascular 2011;19:15-20. https://doi.org/10.1258/vasc.2010.oa0245
  19. Zierler RE, Jordan WD, Lal BK, Mussa F, Leers S, Fulton J, et al. The Society for Vascular Surgery practice guidelines on follow-up after vascular surgery arterial procedures. J Vasc Surg 2018;68:256-284. https://doi.org/10.1016/j.jvs.2018.04.018
  20. Zhou W, Felkai DD, Evans M, McCoy SA, Lin PH, Kougias P, et al. Ultrasound criteria for severe in-stent restenosis following carotid artery stenting. J Vasc Surg 2008;47:74-80. https://doi.org/10.1016/j.jvs.2007.09.031
  21. AbuRahma AF, Abu-Halimah S, Bensenhaver J, Dean LS, Keiffer T, Emmett M, et al. Optimal carotid duplex velocity criteria for defining the severity of carotid in-stent restenosis. J Vasc Surg 2008;48:589-594. https://doi.org/10.1016/j.jvs.2008.04.004
  22. Lal BK, Hobson RW 2nd, Tofighi B, Kapadia I, Cuadra S, Jamil Z. Duplex ultrasound velocity criteria for the stented carotid artery. J Vasc Surg 2008;47:63-73. https://doi.org/10.1016/j.jvs.2007.09.038
  23. Bandyk DF. Follow-up after carotid endarterectomy and stenting: What to look for and why. Semin Vasc Surg 2020;33:47-53. https://doi.org/10.1053/j.semvascsurg.2020.11.001
  24. den Hartog AG, Achterberg S, Moll FL, Kappelle LJ, Visseren FL, van der Graaf Y, et al. Asymptomatic carotid artery stenosis and the risk of ischemic stroke according to subtype in patients with clinical manifest arterial disease. Stroke 2013;44:1002-1007. https://doi.org/10.1161/STROKEAHA.111.669267
  25. icolaides AN, Kakkos SK, Griffin M, Sabetai M, Dhanjil S, Tegos T, et al. Severity of asymptomatic carotid stenosis and risk of ipsilateral hemispheric ischaemic events: results from the ACSRS study. Eur J Vasc Endovasc Surg 2005;30:275-284. https://doi.org/10.1016/j.ejvs.2005.04.031
  26. Lewis RF, Abrahamowicz M, Cote R, Battista RN. Predictive power of duplex ultrasonography in asymptomatic carotid disease. Ann Intern Med 1997;127:13-20. https://doi.org/10.7326/0003-4819-127-1-199707010-00003
  27. Cheng TW, Pointer KE, Gopal M, Farber A, Jones DW, Eberhardt RT, et al. Natural history of non-operative management in asymptomatic patients with 70%-80% internal carotid artery stenosis by duplex criteria. Eur J Vasc Endovasc Surg 2020;60:339-346. https://doi.org/10.1016/j.ejvs.2020.05.039
  28. Brinjikji W, Rabinstein AA, Lanzino G, Murad MH, Williamson EE, DeMarco JK, et al. Ultrasound characteristics of symptomatic carotid plaques: a systematic review and meta-analysis. Cerebrovasc Dis 2015;40:165-174. https://doi.org/10.1159/000437339
  29. Kakkos SK, Griffin MB, Nicolaides AN, Kyriacou E, Sabetai MM, Tegos T, et al. The size of juxtaluminal hypoechoic area in ultrasound images of asymptomatic carotid plaques predicts the occurrence of stroke. J Vasc Surg 2013;57:609-618.e1; discussion 617-8. https://doi.org/10.1016/j.jvs.2012.09.045
  30. US Preventive Services Task Force, Krist AH, Davidson KW, Mangione CM, Barry MJ, Cabana M, et al. Screening for asymptomatic carotid artery stenosis: US preventive services task force recommendation statement. JAMA 2021;325:476-481. https://doi.org/10.1001/jama.2020.26988
  31. Lorenz MW, Polak JF, Kavousi M, Mathiesen EB, Volzke H, Tuomainen TP, et al. Carotid intima-media thickness progression to predict cardiovascular events in the general population (the PROG-IMT collaborative project): a meta-analysis of individual participant data. Lancet 2012;379:2053-2062. https://doi.org/10.1016/S0140-6736(12)60441-3
  32. Sturzenegger M, Mattle HP, Rivoir A, Baumgartner RW. Ultrasound findings in carotid artery dissection: analysis of 43 patients. Neurology 1995;45:691-698. https://doi.org/10.1212/WNL.45.4.691
  33. Yang L, Ran H. Extracranial vertebral artery dissection: findings and advantages of ultrasonography. Medicine (Baltimore) 2018;97:e0067. https://doi.org/10.1097/md.0000000000010067
  34. Benninger DH, Baumgartner RW. Ultrasound diagnosis of cervical artery dissection. Front Neurol Neurosci 2006;21:70-84. https://doi.org/10.1159/000092386
  35. Bennani H, Alami B, Hajjar C, Quenum L, Haloua M, Boubbou M, et al. Symptomatic carotid web: about a rare ultrasound finding. J Med Vasc 2020;45:284-287.
  36. Nezu T, Hosomi N. Usefulness of carotid ultrasonography for risk stratification of cerebral and cardiovascular disease. J Atheroscler Thromb 2020;27:1023-1035. https://doi.org/10.5551/jat.RV17044
  37. Park HK, Hong KS. Carotid web: under-recognized etiology for ischemic stroke. J Neurosonol Neuroimag 2018;10:100-105. https://doi.org/10.31728/jnn.2018.00038
  38. Kwon JA, Gwak DS, Shim DH, Kim YW, Hwang YH. Cryptogenic stroke caused by a carotid web with a superimposed thrombosis: serial neurosonologic findings. J Neurosonol Neuroimag 2019;11:158-161. https://doi.org/10.31728/jnn.2019.00057
  39. Kliewer MA, Hertzberg BS, Kim DH, Bowie JD, Courneya DL, Carroll BA. Vertebral artery Doppler waveform changes indicating subclavian steal physiology. AJR Am J Roentgenol 2000;174:815-819. https://doi.org/10.2214/ajr.174.3.1740815
  40. Lee JY. Duplex ultrasonography in vertebrobasilar system. Journal of Neurosonology 2009;1:14-18.