Ultrasound assessment of carotid arterial atherosclerotic disease

Changed by Henry Knipe, 16 Sep 2014

Updates to Article Attributes

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CarotidUltrasound assessment of carotid arterial atherosclerotic disease can be conveniently graded into percentage stenoses by assesingassessing several sonographic parameters.

The NASCET criteria is as follows (this has been further elaborated in(see reference 3 for further details).:

  • no stenosis: normal wave form waveform 
  • < 15 ;15% stenosis: 
    • deceleration spectral broadening with a peak systolic velocity  (PSV) of < 125 cm/s
  • 16-49 % stenosis : 
    • pan-systolic spectral broadening with a peak systolic velocity (PSV) of < 125 cm/s
  • 50-69 % stenosis : 
    • pan-systolic spectral broadening with a peak systolic velocity (PSV) <125 cm/s
  • 16-49% stenosis: 
    • pansystolic spectral broadening with a PSV < 125 cm/s
  • 50-69% stenosis: 
    • pansystolic spectral broadening with a PSV of &gt; 125;125 cm/sand
    • end diastolic velocity (EDV) &lt; 110;110 cm/s or ICA/CCA PSV ratio >2 but <4
  • 70-79% stenosis: 
    • pansystolic spectral broadening with PSV >270 cm/sor 
    • EDV >110 cm/sor 
    • ICA/CCA PSV ratio &gt; 2 but < 4
  • 70-79 % stenosis : 
    • pan-systolic spectral broadening with PSV> 270 cm/s or 
    • EDV > 110 cm/s or 
    • ICA/CCA PSV ratio > 4;4
  • 80-99% stenosis: EDV &gt; 140;140 cm/s
  • complete occlusion: no flow :; terminal thump

See also

  • -<p><strong>Carotid arterial disease</strong> can be conveniently graded into percentage stenoses by assesing several sonographic parameters. The <a href="/articles/nascet-criteria">NASCET criteria</a> is as follows (this has been further elaborated in reference 3).</p><ul>
  • -<li>no stenosis : normal wave form </li>
  • -<li>&lt; 15 % stenosis : <ul><li>
  • -<strong>deceleration spectral broadening</strong> with a peak systolic velocity  (PSV) of &lt; <strong>125 </strong>cm/s</li></ul>
  • -</li>
  • -<li>16-49 % stenosis : <ul><li>
  • -<strong>pan-systolic spectral broadening</strong> with a peak systolic velocity (PSV) of &lt; <strong>125</strong> cm/s</li></ul>
  • -</li>
  • -<li>50-69 % stenosis : <ul>
  • -<li>pan-systolic spectral broadening with a peak systolic velocity (PSV) of &gt;<strong> 125</strong> cm/s and </li>
  • -<li>end diastolic velocity (EDV) &lt;<strong> 110</strong> cm/s or </li>
  • -<li>ICA/CCA PSV ratio &gt; <strong>2</strong> but &lt; <strong>4</strong>
  • +<p><strong>Ultrasound assessment of carotid arterial atherosclerotic disease</strong> can be conveniently graded into percentage stenoses by assessing several sonographic parameters.</p><p>The <a href="/articles/nascet-criteria">NASCET criteria</a> is as follows (see reference 3 for further details):</p><ul>
  • +<li>no stenosis: normal waveform </li>
  • +<li>&lt;15% stenosis: <ul><li>deceleration spectral broadening with a peak systolic velocity (PSV) &lt;125 cm/s</li></ul>
  • +<li>16-49% stenosis: <ul><li>pansystolic spectral broadening with a PSV &lt; 125 cm/s</li></ul>
  • +</li>
  • +<li>50-69% stenosis: <ul>
  • +<li>pansystolic spectral broadening with a PSV of &gt;125 cm/s<br><em>and</em>
  • +</li>
  • +<li>end diastolic velocity (EDV) &lt;110 cm/s or ICA/CCA PSV ratio &gt;2 but &lt;4</li>
  • -<li>70-79 % stenosis : <ul>
  • -<li>pan-systolic spectral broadening with PSV&gt;<strong> 270</strong> cm/s or </li>
  • -<li>EDV &gt;<strong> 110</strong> cm/s or </li>
  • -<li>ICA/CCA PSV ratio &gt; <strong>4</strong>
  • +<li>70-79% stenosis: <ul>
  • +<li>pansystolic spectral broadening with PSV &gt;270 cm/s<br><em>or </em>
  • +<li>EDV &gt;110 cm/s<br><em>or</em> </li>
  • +<li>ICA/CCA PSV ratio &gt;4</li>
  • -<li>80-99% stenosis : EDV &gt; <strong>140</strong> cm/s</li>
  • -<li>complete occlusion : no flow : terminal thump</li>
  • -</ul><h4>See also</h4><ul><li>
  • -<a href="/articles/carotid-artery-stenosis-ultrasound-criteria">carotid artery stenosis - ultrasound criteria</a> - By <strong>Radswiki</strong>
  • -</li></ul>
  • +<li>80-99% stenosis: EDV &gt;140 cm/s</li>
  • +<li>complete occlusion: no flow; terminal thump</li>
  • +</ul><h4>See also</h4><ul><li><a href="/articles/carotid-artery-stenosis-ultrasound-criteria">carotid artery stenosis - ultrasound criteria</a></li></ul>

Sections changed:

  • Approach
  • Classifications

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