The role of extracranial ultrasound in the prevention of stroke based on the new guidelines

Brigitta Léránt, L. Csiba

Research output: Contribution to journalArticle

Abstract

Extracranial ultrasonography is recommended to use as a baseline non-invasive method in the initial evaluation of either asymptomatic or symptomatic patients to define the possible stenosis on carotid artery. The latest 2011 guidelines specify the sequence of examinations with certain classification of recommendations and level of evidence. Carotid duplex ultrasonography plays an important role both in primary and secondary prevention of stroke and the results found determine the use of further investigations and management of patients with extracranial carotid and vertebral artery disease. In case of diagnostic uncertainty other brain imaging methods, like computed tomography angiography, magnetic resonance angiography and catheter-based angiography can be chosen to assess vascular lesions. Carotid duplex ultrasound serves not only diagnostic purposes but can also be useful in the follow up processes. It is widely used for control examinations after revascularization procedures of the carotid or vertebrobasilar arteries. By the establishment of indications of revascularization procedures degree of carotid stenosis is a major factor which therefore requires accuracy of the assessment. Carotid duplex ultrasound has some difficulties in this question. This diagnostic uncertainty is tried to be solved by improving the criteria system of stenosis grading in internal carotid artery. The aim of this article is to give an overview about the importance and role of extracranial duplex ultrasonography in stroke prevention based on the latest guidelines.

Original languageEnglish
Pages (from-to)94-99
Number of pages6
JournalPerspectives in Medicine
Volume1-12
DOIs
Publication statusPublished - Sep 2012

Fingerprint

Stroke
Guidelines
Ultrasonography
Carotid Stenosis
Uncertainty
Carotid Artery Diseases
Vertebral Artery
Magnetic Resonance Angiography
Internal Carotid Artery
Primary Prevention
Secondary Prevention
Neuroimaging
Blood Vessels
Angiography
Pathologic Constriction
Catheters
Arteries

Keywords

  • Carotid stenosis
  • Guideline
  • Prevention
  • Stroke
  • Ultrasound

ASJC Scopus subject areas

  • Medicine(all)

Cite this

The role of extracranial ultrasound in the prevention of stroke based on the new guidelines. / Léránt, Brigitta; Csiba, L.

In: Perspectives in Medicine, Vol. 1-12, 09.2012, p. 94-99.

Research output: Contribution to journalArticle

@article{530d1aaddf6441b79e28b0190a4f1634,
title = "The role of extracranial ultrasound in the prevention of stroke based on the new guidelines",
abstract = "Extracranial ultrasonography is recommended to use as a baseline non-invasive method in the initial evaluation of either asymptomatic or symptomatic patients to define the possible stenosis on carotid artery. The latest 2011 guidelines specify the sequence of examinations with certain classification of recommendations and level of evidence. Carotid duplex ultrasonography plays an important role both in primary and secondary prevention of stroke and the results found determine the use of further investigations and management of patients with extracranial carotid and vertebral artery disease. In case of diagnostic uncertainty other brain imaging methods, like computed tomography angiography, magnetic resonance angiography and catheter-based angiography can be chosen to assess vascular lesions. Carotid duplex ultrasound serves not only diagnostic purposes but can also be useful in the follow up processes. It is widely used for control examinations after revascularization procedures of the carotid or vertebrobasilar arteries. By the establishment of indications of revascularization procedures degree of carotid stenosis is a major factor which therefore requires accuracy of the assessment. Carotid duplex ultrasound has some difficulties in this question. This diagnostic uncertainty is tried to be solved by improving the criteria system of stenosis grading in internal carotid artery. The aim of this article is to give an overview about the importance and role of extracranial duplex ultrasonography in stroke prevention based on the latest guidelines.",
keywords = "Carotid stenosis, Guideline, Prevention, Stroke, Ultrasound",
author = "Brigitta L{\'e}r{\'a}nt and L. Csiba",
year = "2012",
month = "9",
doi = "10.1016/j.permed.2012.03.020",
language = "English",
volume = "1-12",
pages = "94--99",
journal = "Perspectives in Medicine",
issn = "2211-968X",
publisher = "Elsevier GmbH",

}

TY - JOUR

T1 - The role of extracranial ultrasound in the prevention of stroke based on the new guidelines

AU - Léránt, Brigitta

AU - Csiba, L.

PY - 2012/9

Y1 - 2012/9

N2 - Extracranial ultrasonography is recommended to use as a baseline non-invasive method in the initial evaluation of either asymptomatic or symptomatic patients to define the possible stenosis on carotid artery. The latest 2011 guidelines specify the sequence of examinations with certain classification of recommendations and level of evidence. Carotid duplex ultrasonography plays an important role both in primary and secondary prevention of stroke and the results found determine the use of further investigations and management of patients with extracranial carotid and vertebral artery disease. In case of diagnostic uncertainty other brain imaging methods, like computed tomography angiography, magnetic resonance angiography and catheter-based angiography can be chosen to assess vascular lesions. Carotid duplex ultrasound serves not only diagnostic purposes but can also be useful in the follow up processes. It is widely used for control examinations after revascularization procedures of the carotid or vertebrobasilar arteries. By the establishment of indications of revascularization procedures degree of carotid stenosis is a major factor which therefore requires accuracy of the assessment. Carotid duplex ultrasound has some difficulties in this question. This diagnostic uncertainty is tried to be solved by improving the criteria system of stenosis grading in internal carotid artery. The aim of this article is to give an overview about the importance and role of extracranial duplex ultrasonography in stroke prevention based on the latest guidelines.

AB - Extracranial ultrasonography is recommended to use as a baseline non-invasive method in the initial evaluation of either asymptomatic or symptomatic patients to define the possible stenosis on carotid artery. The latest 2011 guidelines specify the sequence of examinations with certain classification of recommendations and level of evidence. Carotid duplex ultrasonography plays an important role both in primary and secondary prevention of stroke and the results found determine the use of further investigations and management of patients with extracranial carotid and vertebral artery disease. In case of diagnostic uncertainty other brain imaging methods, like computed tomography angiography, magnetic resonance angiography and catheter-based angiography can be chosen to assess vascular lesions. Carotid duplex ultrasound serves not only diagnostic purposes but can also be useful in the follow up processes. It is widely used for control examinations after revascularization procedures of the carotid or vertebrobasilar arteries. By the establishment of indications of revascularization procedures degree of carotid stenosis is a major factor which therefore requires accuracy of the assessment. Carotid duplex ultrasound has some difficulties in this question. This diagnostic uncertainty is tried to be solved by improving the criteria system of stenosis grading in internal carotid artery. The aim of this article is to give an overview about the importance and role of extracranial duplex ultrasonography in stroke prevention based on the latest guidelines.

KW - Carotid stenosis

KW - Guideline

KW - Prevention

KW - Stroke

KW - Ultrasound

UR - http://www.scopus.com/inward/record.url?scp=84867574975&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84867574975&partnerID=8YFLogxK

U2 - 10.1016/j.permed.2012.03.020

DO - 10.1016/j.permed.2012.03.020

M3 - Article

AN - SCOPUS:84867574975

VL - 1-12

SP - 94

EP - 99

JO - Perspectives in Medicine

JF - Perspectives in Medicine

SN - 2211-968X

ER -