RT Journal Article
T1 Validation of a basic neurosonology laboratory for detecting cervical carotid artery stenosis.
T2 Validación de un laboratorio básico de neurosonología para la detección de estenosis carotídea cervical.
A1 de la Cruz Cosme, C
A1 Dawid Milner, M S
A1 Ojeda Burgos, G
A1 Gallardo Tur, A
A1 Márquez Martínez, M
A1 Segura, T
K1 Arteriosclerosis intracraneal
K1 Carotid artery disease
K1 Carotid artery stenosis
K1 Doppler ultrasound
K1 Enfermedades de la arteria carótida
K1 Estenosis carotídea
K1 Estenosis intracraneal
K1 Intracranial arteriosclerosis
K1 Intracranial stenosis
K1 Intracranial thrombosis
K1 Trombosis intracraneal
K1 Ultrasonografía Doppler
AB Most of the cases of ischaemic stroke in our setting are of atherothrombotic origin. Detecting intracranial and cervical carotid artery stenosis in patients with ischaemic stroke is therefore essential. Ultrasonography has become the tool of choice for diagnosing carotid artery stenosis because it is both readily accessibility and reliable. However, use of this technique must be validated in each laboratory. The purpose of this study is to validate Doppler ultrasound in our laboratory as a means of detecting severe carotid artery stenosis. We conducted an observational descriptive study to evaluate diagnostic tests. The results from transcranial and cervical carotid Doppler ultrasound scans conducted by neurologists were compared to those from carotid duplex scans performed by radiologists in patients diagnosed with stroke. Arteriography was considered the gold standard (MR angiography, CT angiography, or conventional arteriography). Our sample included 228 patients. Transcranial and cervical carotid Doppler ultrasound showed a sensitivity of 95% and specificity of 100% for detection of carotid artery stenosis > 70%, whereas carotid duplex displayed a sensitivity of 87% and a specificity of 94%. Transcranial carotid Doppler ultrasound achieved a sensitivity of 78% and a specificity of 98% for detection of intracranial stenosis. Doppler ultrasound in our neurosonology laboratory was found to be a useful diagnostic tool for detecting cervical carotid artery stenosis and demonstrated superiority to carotid duplex despite the lack of B-mode. Furthermore, this technique was found to be useful for detecting intracranial stenosis.
YR 2017
FD 2017-03-25
LK http://hdl.handle.net/10668/11011
UL http://hdl.handle.net/10668/11011
LA en
LA es
DS RISalud
RD Apr 5, 2025