Doppler ultrasound is useful for diagnosing the severity of vascular diseases. The study investigated 84 patients between 30-70 years old, including 46 with clinical forms of acute ischemic stroke (AIT) and other non-specific neurological diseases, using Doppler ultrasound and echocardiography to evaluate carotid disease and left ventricular ejection fraction. The results showed most patients had 10-50% carotid stenosis, with highest numbers between ages 40-60. The study concluded that non-invasive investigation of both coronary and carotid disease could help reduce pre- and post-surgical complications for patients with vascular disease by evaluating both disorders in a single session.

1. University of Medicine and Pharmacy
Craiova
THE ROLE OF DOPPLER
ULTRASOUND FOR
DIAGNOSIS OF THE SEVERITY
OF VASCULAR DISEASES
Author: ENACHE ANDREEA-LORENA
Co authors: Dinu Ilie Robert, Manuela Ioana Vasile
Scientific Coordonator : Prof. Univ. Dr. Vasile Ileana

2. I
N
T
R
O
D
U
C
T
I
O
N
ATHEROSCLEROSIS
systhemic and
gradual process
SHOWING THAT

3. the patients with iskaemic
heart are more liable to a
suffering stroke
VERSUS
while

4. patients with iskaemic stroke
die more frequently of myocardial
infarct than recurent stroke or the
other neurological diseases.

5. Importance of correlation between carotidal and
coronary disease can be reported by annual
death rate after AIT caused by miocardic
necrosis.

6. Toshiyuri Uehara (1998)
Coronary and cerebral
ATHEROSCLEROSIS have
more common risk factors,
but the impact is different

7. “Atherosclerosis risk in comunitar study”
Salomen from Craven’s research

8. Vigneswaran
carotidian ultrasonography
Says about cerebro/vascular complications post-
surgical (post aorto-coronarian by-pass) and he
proposes for pre-surgery optimisation :
Trans thoracic Echo cardiography

9. Tanaka
Ultrasonography and
selective
coronarography
for 92 iskaemic patients

10. „Stroke” Magazine (1998,1999)
Livelihood carotidal
disease as important
marker from the other
several coronary
diseases.

12. P
U
R
P
O
S
E
Starting from the
importance of the various
aspects of cerebral
vascular and coronary
diseases we investigated
without the invasive
methods :

13. carotidal disease expressed USgraphic
Doppler
several isckeamic coronary process
by analysis EFLV.
Relationship between
and

14. M
A
T
E
R
I
A
L
M
E
T
H
O
D
84 PATIENTS
Age 30-70 years
46 with CLINICAL form of AIT
a low number of neurological non
specific diseases

15. No :
Labile angor pectoris
Acute myocardial infarct
CMP I / II, aortic valvular disease, major
left branch block, increased blood
pressure, atrial fibrillation

16. Doppler apparatus Smart DOp
50 FG
with bidirectionnal blood
flowmeter with the analise
spectral in LCD display with
high resolution, power
spectrum in real time and date.
ULTRASONOGRAPHY:
We used a 5 Mhz probe, Ø = 5 mm .

17. CAROTIDAL DISEASE

18. For the
evaluation
systolic
function of
LV we
analyze
ejection
fraction of
LV
TRANSTHORACIC Echo CG

19. R
E
S
U
L
T
S
View inside an atherosclerotic
artery with severe plaque and
thrombus in the foreground
(light microscopy)

20. <10%
10-20%
20-50%
50-80%
80-100%
10
20
26
22
6
0
5
10
15
20
25
30
LOT’S DISTRIBUTION for
stenosis degree

21. 15
4
0
10
2
4
6
8
10
12
14
16
AGE REPARTITION
DIAGRAM
30-40 years
40-50 years
50-60 years
>60 years

22. EFLV determination
49
cases

23. C
O
N
C
L
U
S
I
O
N
S
Investigation in double sense,
coronary and carotidial disease by non
invasive age methods, followed by
invasive events can have an important
advantage to reduce the incidence pre
and post surgical complications - for the
patients with vascular disease, maybe,
both disorders in one session.

24. 1. Faggioli GxL.Curl GR, Ricotta JJ- the role of
carotid screening before coronary artery
bypass, J. Vasc.Surgery 1990, 12, 724-731.
2. Barnes RW. Liebman PR Marzalek PB, Kirk CL,
Goldman MH- The natural history of
asympthomatic carotid disease în patients
undergoing cardiovascular surgery, Surgery
1981, 90, 1075.1083
B
I
B
L
I
O
G
R
A
P
H
Y

25. 3. Davilla Roman VG, Barzilai B, Waveing Th,
Murphy SF, Schechtman KB, Kouckou KS NT –
Atherosclerosis of the ascending aorta.
Prevalence and role as independent predictor of
cerebrovascular events in cardiac pacients, Stroke
1994, 25, 2010-2016.
4. Tunick PA, Kronzon I – Protunding athermas in
the aortic of patients with szstemic embolization: a
new finding seen by transesophageal
echocardiography, Annual Heart Journal,120, 658-
660.

26. THANK YOU !