A new Doppler-derived parameter to quantify internal carotid artery stenosis: maximal systolic acceleration

Carotid artery stenosis has long been recognized as an important etiological factor for ischemic stroke and large trials have determined the benefit of carotid endarterectomy (CEA) in symptomatic patients as prophylactic countermeasure against stroke.1 –5 Doppler ultrasonography (DUS) is the primary evaluation of carotid artery stenosis and management determination.6,7,8 Although in many centers additional imaging (computed tomographic angiography (CTA) or MR angiography (MRA)) is obtained when intervention is considered, in some regions a major ity of surgical interventions of the carotid artery is based on DUS-imaging alone.

Source: Annals of Vascular Surgery - November 11, 2021 Category: Surgery Authors: Jeroen J.W.M. Brouwers, Janey F.Y. Jiang, Robert T. Feld, Louk P. van Doorn, Rob C. van Wissen, Marianne A.A. van Walderveen, Jaap F. Hamming, Abbey Schepers Source Type: research