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Ultrasound assessment of carotid arteries: Current concepts, methodologies, diagnostic criteria, and technological
Christopher S G Murray1, Tamanna Nahar2, Hayrapet Kalashyan3
1Department of Internal Medicine, Harlem Hospital Center/Columbia University, New York, New York.
Insights
Stroke is a leading cause of death. Carotid artery ultrasound effectively screens for stroke risk factors like intima-media thickness and stenosis, aiding early detection and prevention.
Area of Science:
- Neurology
- Vascular Medicine
- Diagnostic Imaging
Background:
- Stroke is the third leading cause of death and disability globally.
- Early detection of cardiovascular events is crucial for prevention.
- Carotid artery abnormalities like increased intima-media thickness, plaque, or stenosis indicate stroke risk.
Purpose of the Study:
- To review the current state and utility of carotid artery ultrasound.
- To highlight its role in assessing extracranial cerebrovascular disease.
- To examine technological advancements in the procedure over the last two decades.
Main Methods:
- Review of current literature and technological advancements in carotid artery ultrasound.
- Assessment of diagnostic modalities for vascular morbidity.
- Focus on extracranial cerebrovascular assessment techniques.
Main Results:
- Carotid artery ultrasound is a reliable tool for early vascular morbidity assessment.
- Technological upgrades have enhanced the procedure's utility.
- The technique remains integral to stroke risk evaluation.
Conclusions:
- Carotid artery ultrasound is essential for identifying stroke risk.
- Continuous technological evolution improves its diagnostic capabilities.
- It plays a vital role in managing cerebrovascular health.
Abstract:
Following cardiac disease and cancer, stroke continues to be the third leading cause of death and disability due to chronic disease in the developed world. Appropriate screening tools are integral to early detection and prevention of major cardiovascular events. In a carotid artery, the presence of increased intima-media thickness, plaque, or stenosis is associated with increased risk of a transient ischemic attack or a stroke. Carotid artery ultrasound remains a long-standing and reliable tool in the current armamentarium of diagnostic modalities used to assess vascular morbidity at an early stage. The procedure has, over the last two decades, undergone considerable upgrades in technology, approach, and utility. This review examines in detail the current state and usage of this integrally important means of extracranial cerebrovascular assessment.
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