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Carotid Imaging Modalities

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Carotid Imaging Modalities Kyle Boyce August 3, 2007
Leading Causes of Death in U.S. ,[object Object],[object Object],[object Object],[object Object]
Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Brief Review - Pathophysiology ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Carotid Atherosclerosis – Progession of Dz Plaque Formation Plaque ulceration Formation of Thrombus Further Stenosis or Occlusion Release of Emboli Plaque Enlargement Decrease Cerebral Flow Decreased or Absent Flow
Cerebrovascular Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Measuring Degree of Stenosis ,[object Object]
Imaging ,[object Object],[object Object],[object Object],[object Object]
Carotid Duplex U/S ,[object Object],[object Object],[object Object]
Carotid Duplex U/S ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CT Angiography ,[object Object],[object Object],[object Object]
CT Angiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Magnetic Resonance Angiography ,[object Object],[object Object],[object Object]
Magnetic Resonance Angiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebral Angiography ,[object Object],[object Object],[object Object],[object Object],[object Object]
Cerebral Angiography ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
<50 % > 50% CEA more beneficial for asymp men with 60-99% stenosis who are good surgical candidates
May be benefit with 50 to 69% symptomatic stenosis (clearly shown in men but not women)
References ,[object Object],[object Object],[object Object],[object Object],[object Object]

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Carotid Imaging Modalities

  • 1. Carotid Imaging Modalities Kyle Boyce August 3, 2007
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  • 6. Carotid Atherosclerosis – Progession of Dz Plaque Formation Plaque ulceration Formation of Thrombus Further Stenosis or Occlusion Release of Emboli Plaque Enlargement Decrease Cerebral Flow Decreased or Absent Flow
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  • 18. <50 % > 50% CEA more beneficial for asymp men with 60-99% stenosis who are good surgical candidates
  • 19. May be benefit with 50 to 69% symptomatic stenosis (clearly shown in men but not women)
  • 20.